Course Details

Start Date	16 January 2024
End Date	20 January 2024
Price AUD	$2,250

Course fees include all accommodation, food and course material for the duration of the course.

Costs of travelling to the course facility are not included.

Click here for more information about this course.

Application Form

Boys aged 14 (born 2010) & Boys aged 15 (born 2009)

Player Details Player First Name*

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Player Last Name*

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Player Email* IMPORTANT must be Player's Email Address

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Player Mobile* IMPORTANT must be Player's Phone Number

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Date of Birth*

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Gender* Male Female Do you identify as Indigenous Australian or ATSI?* Yes No

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Address*

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City*

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Country*

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Weight (kg):*

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Height (cm):*

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Preferred Position*

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Second Position Option*

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Rugby History*

Please enter details about your personal rugby history, teams you played for, or teams you coached, and any other relevant achievements. (maximum 1,000 characters).

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Affiliated School* Affiliated Club* Affiliated Union*

Parent/Guardian Details First Name*

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Last Name*

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Parent/Guardian Mobile*

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Parent/Guardian Email*

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Character Reference Details First Name*

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Last Name*

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Character Reference Mobile*

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Character Reference Email*

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Payment Details First Name Last Name Organisation Email Phone Invoice address

Application Details How did you hear about this course? Enter the letters and numbers that you see into the field below*

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By registering for this event, I accept the

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Terms and Conditions