HOME >> SUMMER VENUES >> TACKLE CANCER 10s RUGBY TOURNAMENT >> TACKLE CANCER 10s REGISTRATION FORM

Posted August 4th, 2008

 

TACKLE CANCER 10s  |  INFORMATION PAGE

Please print out the form, fill it out, and then mail it to the address below!

August 16th:

Team Name[s]:

 

 

 

Division - Please include the number of Teams in each Division:

Open:

  

Men's

 

Women's

  

Men's Over 35

Contact 1:

        

 

      

Name:

 

Address:

 

Phone[s]:

 

E-mail address:

 

Contact 2:

    

 

 

 

 

Name:

 

Address:

 

Phone[s]:

 

E-mail address:

 

Entry Fee: 

$ 250.00 per Team  |  $ 100.00 per additional/2nd Team

Make checks payable to the:  Allegheny Rugby Union

Send Entry Fee and Registration Form to:

Allegheny Rugby Union

c/o Gary Lobaugh, 334 Barclay Avenue, Pittsburgh, PA 15221

 

For any further questions and/or concerns contact the Tournament Director:

Gary Lobaugh, globaugh@netzero.net