Scioto Valley Rugby Football Team, Columbus, Ohio

Wednesday, 03/10/10

Mens' Club Membership Signup

Have you ever played rugby before?
Please complete the following as completely as possible: If you have any general questions or comments about becoming a player, please email , for more information.
	PERSONAL / CONTACT INFORMATION
First Name*
Last Name*
Email Address*
Street Address:
City:
State:
Zip:
Home/Cell Phone
Work Phone
Height
Weight
Age
	RUGBY INFORMATION
Position(s) Played:
Years Played
Teams Played for
	EMPLOYMENT INFORMATION
Occupation
Are you in need of a new job to help you relocate to Columbus, Ohio?
If YES, please fill in up to 5 keywords that would describe your job skills:
	MISC. INFORMATION

To inquire about joining the
WOMEN'S TEAM,
please use
THIS FORM.