If you will not be able to attend the combine on April 22nd in Utah please use this form to express interest for the team.

Legal First Name *

Preferred First Name *

Last Name *

Email *

Date of Birth *

(MM/DD/YYYY)

Phone *

Gender

Female

Male

Have you ever registered with a USARL affiliated team?

Yes

If yes, who is your home club? (League only. Put NA if you do not have one.)

Do you have a passport? *

Yes

If yes, what date does your passport expire?

(MM/DD/YYYY)

How do you plan to fund the player portion of the trip?

Rugby League Experience

Preferred Positions

Reference Coach One

Reference One

Reference Coach Two

Reference Two

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I agree to terms & conditions provided by URLA and USARL. By providing my phone number, I agree to receive text messages from URLA.