Halbro Colts League

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"Promoting Colts Club Rugby in the North West and beyond."

Application for entry to the Halbro North West Colts League for 2008/2009

Complete this on-line application in full.

When you have done so and clicked submit you will be presented with a PDF which you must print off and send in to the league.

The printed form needs to be signed by a club official.

A cheque for £75 per team entered should accompany the form. Cheques should be made payable to: Halbro Northwest Colts League

Closing date for entries on-line is 30/05/08.

Closing date for receipt of signed forms and payment is 02/06/08.

		* Required Field

	Club:	*
		If not listed please select other and complete below:-


	Managers Details
	Firstname	*
	Surname	*

	Mobile Phone	*
	Home Phone
	Work Phone

	eMail Address	*
	Re-enter eMail Address	*

	Additional eMail Address	W H

	Application for a	Senior Junior * Colts Team
	Suggested seeding	A B C D E *

		If not correct then untick & complete as appropriate
	Fixtures Secretary	As Manager


	Head Coach	As Manager

	Coach	As Manager

	Club Referee Society Contact	if known
	Firstname
	Surname
	Phone 1	W H M
	Phone 2	W H M
	Phone 3	W H M
	eMail Address 1	W H
	eMail Address 2	W H