Hampshire Youth Rugby

HAMPSHIRE YOUTH RUGBY

Registration for HRFU Women's Rugby 2016 - 17 season

Please complete ALL details in order that we can collate the required information. Should you have any questions please direct them to the Manager - Duncan Parker in the first instance. (Details below)

The County Women's squad will be playing 4 competitive matches within the RFU Women's Competition. These will be held over five weekends in April & May.

TheFIRST TRIALwill take place on FRIDAY 17th MARCH from 19.00 - 21.00 at EASTLEIGH RFC, The Hub, Bishopstoke Rd, Eastleigh SO50 6LA

TheSECOND TRIALwill take place on FRIDAY 24th MARCH from 19.00 - 21.00 at HAVANT RFC, Bedhampton Rd,

Havant PO9 3DT

Name: / Date of Birth:
Email:
Address:
Address:
Post Code: / Contact number:
Next of Kin contact details:
Primary position: / Alternative position:
Club/s represented in last 3 years:
Representative Honours:
Medical History:
Availability:
17th March County Trial Test Park Southampton / YES / NO / DON'T KNOW
24th March County Trial Test Park Southampton / YES / NO / DON'T KNOW
26th March Training Match Test Park Southampton / YES / NO / DON'T KNOW
31st March TRAINING Test Park Southampton / YES / NO / DON'T KNOW
7th April TRAINING Test Park Southampton / YES / NO / DON'T KNOW
21st April Pre-match training Basingstoke RFC / YES / NO / DON'T KNOW
23rd April HOME v ESSEX @ BASINGSTOKE RFC / YES / NO / DON'T KNOW
28th April Pre-match training tba / YES / NO / DON'T KNOW
30th April AWAY v BUCKINGHAMSHIRE / YES / NO / DON'T KNOW
5th May Pre-match training tba / YES / NO / DON'T KNOW
7th May HOME v SOMERSET @ Fordingbridge RFC -
SP6 1AN / YES / NO / DON'T KNOW
19th May Pre-match training tba / YES / NO / DON'T KNOW
21st May AWAY v HERTFORDSHIRE @ Harpenden RFC - AL5 2BA / YES / NO / DON'T KNOW

Yours in Rugby

Manager - Duncan Parker- Tel: 077 4847 9527

Head Coach - Dean Lewis- Tel: 077 1138 5915