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Rugby Indiana Match Request Application Form

This is a form to request matches in Rugby Indiana. Matches with out of state teams require submission a minimum of 4-weeks in advance AND require the travel application to be completed. Matches with In State teams require submission a minimum of 2-weeks in advance.

Name(Required)
Requested Match Time(Required)
:
If you are requesting out of state team, you must use the travel request form.
Have you previously contact the team to discuss their aviailability?(Required)
I/We understand that this is only a request for match(es) and the request does not guarantee the matches will be scheduled/sanctioned for any number of reasons. I/We also understand understant that multi-match events and tournaments have additional requirements that must be met. I/We understand that matches with out of state teams require a minimum of 4-weeks noticed/application. I/we understand that matches against Rugby Indiana teams require a minimum of 2-weeks notice/application. I/We have notified any out of state teams that they must apply for travel permission from their State's governing body.(Required)

Submit Application

This form is only for players of Rugby Indiana who are requesting financial assistance to play in our seasons. This form is not for scholarships in other areas (outside of Indiana) or age groups (college / adult).

This field is for validation purposes and should be left unchanged.
Player Name(Required)
Player Full Address(Required)
Max. file size: 128 MB.