Roster Form - Usa Rugby
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1USA RUGBY MATCH ROSTER FORM
Club Name _________________________________________________________________
Date ________
Home/Away
NUMBER
PLAYER NAME
MEMBERSHIP/CIPP #
CITIZENSHIP
# on field
Must be current & affiliated
U.S., Res. Alien, Non-Resident
STAFF AND TECHNICAL ZONE ROSTER
IN TZ?
STAFF NAME
MEMBERSHIP/CIPP #
STAFF ROLE
Yes/No
Must be current & affiliated
Coach, Admin, Medical
Home Signature ___________________________________
Away Signature ___________________________________
Ref Signature
___________________________________
#4 Signature
___________________________________
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Parent category: Business