2009 NYS Rugby Collegiate Upstates
Registration Form

Men’s Tournament - Saturday, April 18, 2009
Women’s Tournament - Sunday, April 19, 2009


Make check payable to:  
NYS Rugby Conference

Mail payment and form to:
J.C. Whipple
NYS Rugby Executive Director
21 Montgomery St.
Hamilton, NY  13346

 


Club Name  ______________________________________________________

Contact  _________________________________________________________

Address  _________________________________________________________

City / State / ZIP  __________________________________________________

Phone  __________________________________________________________

Email  ___________________________________________________________


WOMEN’S TOURNAMENT

A-side  ($150)          $  __________       

B-side  ($75)          $ __________

Total                  $ __________


MEN’S  TOURNAMENT

A-side  ($150)          $  __________       

B-side  ($75)          $ __________

Total                  $ __________

 


REGISTRATION and PAYMENT MUST BE RECEIVED BY
APRIL 11, 2009

Registrations received after April 11 WILL NOT be accepted