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SU Women’s Rugby Availability Survey
Chrissy Carpenter
2023-01-24T17:16:56-05:00
SU WOMEN’S RUGBY AVAILABILITY SURVEY
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" indicates required fields
General Info
Name
*
First
Last
Preferred Pronouns
Graduation Year
*
Email
*
Health
Height
Weight
Do you have any medical conditions, disabilities or allergies?
Yes
No
List each condition, disability or allergy and any medication you take for it:
Do you have any chronic injuries?
Yes
No
List your chronic injuries and what they may prohibit you from doing on the field:
Please check each box that applies to you:
Fainting
Dizzy Turns
Breathlessness or more easily tired than teammates
History of high blood pressure
Diabetes
Palpitations
Chest pain or tightness
Sudden death in your immedate family of anyone under 50
Smoking
Spring Availability
What practice days are you AVAILABLE to attend the ENTIRE training?
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Monday, 8:00-10:00p (Women's Bldg Gym B)
Tuesday, 7:30-9:00p (Manley)
Thursday, 7:30-9:00p (Manley)
Select All
If you are unavailable any days, please list the reason. **If you will be LATE any days, please specify the day and reason + what time you will be arriving:
Please check the dates you are AVAILABLE TO ATTEND a tournament.
*
Note: We will have 3-4 weekends of rugby. The purpose of this is to get an idea of any weekends we will not be able to field a side. This is not a commitment. Once we have the schedule in place we will request a final answer.
02/18
02/25
03/04
03/11
03/18
03/25
04/01
04/08
04/15
04/22
04/29
05/06
Select All
Attendance Policy Confirmation
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By checking this box you are assuring that you completely understand the SU Women's Rugby Attendance Policy. SUWRFC believes a balanced life makes better, happier players. Family, school & work are your top priorities. However, you are a member of a competitive team and are therefore accountable to your team. You are required to notify the team, prior to practice and through our digital attendance form, if you need to miss training unexpectedly due to family, school or work. An unexcused absence will prevent you from starting in the next match you are eligible to play. Multiple unexcused absences in one week will prevent you from playing in the next match you are eligible to play. --Please be responsible.--
SUWRFC Guideline Confirmation
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By checking this box you are assuring that you completely understand the
SU Women's Rugby Guidelines.
By submitting this form I understand I will be contacted by SU Women's Rugby Club via email.
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