Online Team Registration

Team Name:
Preferred Division:
Contact Person:
Address:
City, St,Prov, Zip:
E-mail:
Phone:
Cell:
Fax:
Amount Due:

Each side entered is $250. After June 10, entries are $300 per side. Only 24 teams will be accepted. So teams are encouraged to register before the deadline. Teams entering an A and B team will receive a $100 deduction if payment received before June 10. Make checks out to Chuckanut Bay Rugby.

MAIL TO:
Chuckanut Bay Rugby
5707 Northwest Dr.,
Ferndale, WA 98248 USA