THIS FORM MUST BE COMPLETED IN ITS ENTIRETY

The Tournament Organizer must forward a copy of this form to USA Rugby's National Office to sanctions@usarugby.org or

Fax a copy to 309-539-0311 Attention:  Tournament Sanctioning.  Please direct any inquiries to sanctions@usarugby.org.

Application Date:  
Tournament Name:  
Tournament Location:  
Address:  
City:     State:     Zip:  
Time:     on the     day(s) of     20  
Address:  
Sponsoring Organization:  
Tournament Organizer:  
Tournament Organizer Contact Phone: (     )     E-mail:  
Additional Contacts:  
   
Team Rosters Attached:      Yes      No    
Applicant's Signature:     Date:  

DO NOT WRITE BELOW THE DOUBLE LINE BELOW

FOR USA RUGBY USE ONLY

 

Approved/Rejected (Circle One) Signed:     Date:  
USA Rugby Official:     Sanction Number:  
Additional Comments:  
   

USA RUGBY