Player Registration Form
Name :	*
Email :	*
Telephone :	*
Fax :
Current Club/Province :
Club Email:
Club Website:
Password :	*
Confirm Password :	*
Players Particulars
Primary Playing Position:	1 2 3 4/5 6 7 8 9 10 11/14 12 13 15  *
Secondary Playing Position:	1 2 3 4/5 6 7 8 9 10 11/14 12 13 15
Are you a Goal Kicker:	No Yes
Contract Sought: (absolute minimum requirements)
Salary (Euros per month):	Open to offers Under 1,000 Euro per month 1,000 to 2,000 Euro per month 2,000 to 4,000 Euro per month 4,000 to 8,000 Euro per month Over 8,000 Euro per month  *
Airfares:	Yes No  *
Accommodation:	Yes No  *
Motor Vehicle:	Yes No  *
Other:
Are you currently under Contract:	> No Yes  *
Contract expiry date:	2007 2008 2009 2010 2011 2012 2013 2014 2015   *
Destination - First Preference:	Australia Canada France Italy Japan New Zealand South Africa United Kingdom United States Other  *
Destination - Second Preference:	Australia Canada France Italy Japan New Zealand South Africa United Kingdom United States Other  *
Height:	Under 180 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm Over 200 cm  *
Weight:	Under 80 kg 81 kg 82 kg 83 kg 84 kg 85 kg 86 kg 87 kg 88 kg 89 kg 90 kg 91 kg 92 kg 93 kg 94 kg 95 kg 96 kg 97 kg 98 kg 99 kg 100 kg 101 kg 102 kg 103 kg 104 kg 105 kg 106 kg 107 kg 108 kg 109 kg 110 kg 111 kg 112 kg 113 kg 114 kg 115 kg 116 kg 117 kg 118 kg 119 kg 120 kg Over 120 kg  *
Age:	Under 21 21 22 23 24 25 26 27 28 29 30 31 32 33 Over 33  *
Bench Press:	Under 100 kg 100 - 105 kg 105 - 110 kg 110 - 115 kg 115 - 120 kg 120 - 125 kg 125 - 130 kg 130 - 135 kg 135 - 140 kg 140 - 145 kg 145 - 150 kg 150 - 155 kg 155 - 160 kg 160 - 165 kg 165 - 170 kg 170 - 175 kg 175 - 180 kg 180 - 185 kg 185 - 190 kg 190 - 195 kg 195 - 200 kg Over 200 kg
Best Squat:	Under 140 kg 140 - 145 kg 145 - 150 kg 150 - 155 kg 155 - 160 kg 160 - 165 kg 165 - 170 kg 170 - 175 kg 175 - 180 kg 180 - 185 kg 185 - 190 kg 190 - 195 kg 195 - 200 kg 200 - 205 kg 205 - 210 kg 210 - 215 kg 215 - 220 kg 220 - 225 kg 225 - 230 kg 230 - 235 kg 235 - 240 kg Over 240 kg
Highest Playing Level:	International Provincial Other Representative  *
Country/Provience/Team Name:	*
Numbers of Games Played:	*
Number of Years Played:	*
Select 5 Phrases that best decribe you:	Good scrummager Good lineout jumper Good cover defender Straight runner Impact player Strong defender Accurate throw to lineout Big and strong Fast and elusive Good swerve/sidestep Accurate pass left and right Good kicker in general play Prolific try-scorer Prolific goal-kicker Ball winner in loose Solid under high ball Good hands Forward organiser Playmaker Good counter attacker Backs organiser Experienced captain Experienced media performer Chases kicks Organises defence Long, accurate pass  *
	Good scrummager Good lineout jumper Good cover defender Straight runner Impact player Strong defender Accurate throw to lineout Big and strong Fast and elusive Good swerve/sidestep Accurate pass left and right Good kicker in general play Prolific try-scorer Prolific goal-kicker Ball winner in loose Solid under high ball Good hands Forward organiser Playmaker Good counter attacker Backs organiser Experienced captain Experienced media performer Chases kicks Organises defence Long, accurate pass  *
	Good scrummager Good lineout jumper Good cover defender Straight runner Impact player Strong defender Accurate throw to lineout Big and strong Fast and elusive Good swerve/sidestep Accurate pass left and right Good kicker in general play Prolific try-scorer Prolific goal-kicker Ball winner in loose Solid under high ball Good hands Forward organiser Playmaker Good counter attacker Backs organiser Experienced captain Experienced media performer Chases kicks Organises defence Long, accurate pass  *
	Good scrummager Good lineout jumper Good cover defender Straight runner Impact player Strong defender Accurate throw to lineout Big and strong Fast and elusive Good swerve/sidestep Accurate pass left and right Good kicker in general play Prolific try-scorer Prolific goal-kicker Ball winner in loose Solid under high ball Good hands Forward organiser Playmaker Good counter attacker Backs organiser Experienced captain Experienced media performer Chases kicks Organises defence Long, accurate pass  *
	Good scrummager Good lineout jumper Good cover defender Straight runner Impact player Strong defender Accurate throw to lineout Big and strong Fast and elusive Good swerve/sidestep Accurate pass left and right Good kicker in general play Prolific try-scorer Prolific goal-kicker Ball winner in loose Solid under high ball Good hands Forward organiser Playmaker Good counter attacker Backs organiser Experienced captain Experienced media performer Chases kicks Organises defence Long, accurate pass  *
Nationality:	Andorra Arabian Gulf Argentina Australia Austria Bahamas Barbados Belgium Bermuda Bosnia & Herzegovina Botswana Brazil British Virgin Islands Bulgaria Cameroon Canada Cape Town Cayman Island Chile China Colombia Cook Islands Croatia Czech Republic Denmark England Fiji Islands Finland France Georgia Germany Guam Guyana Hong Kong Hungary India Ireland Israel Italy Ivory Coast Jamaica Japan Kazakhstan Kenya Korea Latvia Lithuania Luxembourge Madagascar Malaysia Malta Moldova Monaco Morocco Namibia Netherlands New Zealand Nigeria Niue Island Norway Papua New Guinea Paraguay Peru Poland Portugal Romania Russia Samoa Scotland Singapore Slovenia Solomon Islands South Africa Spain Sri Lanka St. Lucia, West Indies St. Vincents & The Grenadines Swaziland Sweden Switzerland Tahiti Taiwan Thailand Tonga Trinidad & Tobago, West Indies Tunisia Uganda Ukraine United States Uruguay Vanuatu Venezuela Wales Yugoslavia Zambia Zimbabwe  *
European Passport:	No Requirements European Passport Ancestral Visa (UK)  *
Was a parent born in UK or Europe:	No Yes   *
Was a grandparent born in UK or Europe:	No Yes  *
Successful registration requires all fields with * next to them to be filled.