USA clubs registration form

Is this

Give your club name:

If your club has its own WWW home page, what is the URL? E.g.
http://www.uidaho.edu/~rugbyc/
(Leave blank if not applicable.)

Provide your club's password to the Club's database. (If this is a new entry, select a password up to 8 letters long. If this is an update, the password must match that previously given for the update to be successful. Warning: Never divulge your club's password to anybody outside of your club.)

Where is your club located? Select a State: Alabama Alaska Arizona Arkansas California Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New_Hampshire New_Mexico New_York North_Carolina North_Dakota Ohio Oklahoma Oregon South_Carolina South_Dakota Tennessee Texas Utah Vermont Virginia Washington West_Virginia Wisconsin Wyoming

In what city is your club based?

If this city is part of a larger metropolitan area what is that?

If your club has a permanent mailing address what is it? (Omit your club's name but do include any "care of" name using "c/o".)

If your club has a club hotline/club phone, what is the number e.g. (212) 787-1160

Affiliation: To what local union does your club belong? (e.g. Pacific Northwest)

What is your club's membership type? High School Men's Club Men's College Military Club Old Boys/Masters Professional School Women's Club Women's College

How many sides do you regularly field?

In what division(s) does your club play?

What are your team's colours?

If you have "change" colours, hwat are they?

How many members (active and social) do you have?

What is your club election date?

In what year was your club founded?

Does your club

• Own land? Yes No
• Own a clubhouse? Yes No
• Have a coach? Yes No

When and where do you practise?

If your club has any special attractions (e.g. lighted practice field, New Zealand coach, clubhouse with bar, National champs 10 years in a row) then add that here using plain text.

This entry was supplied by:
email address:
postal address:
home phone: work phone:
summer-time phone [colleges only]:
Office held in club:

Please supply additional contact information for your club. It is strongly suggested that college teams have at least one non-student as a contact (e.g. athletic director, faculty advisor or coach). All others should use their president and secretary as contacts, if possible.

Contact One:
email address:
postal address:
home phone: work phone:
summer-time phone [colleges only]:
Office held in club:

Contact Two:
email address:
postal address:
home phone: work phone:
summer-time phone [colleges only]:
Office held in club:

(Resetting the form will clear all of the values you have typed in. You may edit the form without resetting it. Submitting the form will add your club to the online clubs database and cause the information to be mailed to Rugby magazine for inclusion in their printed directory.)