New Coach Submission

Please provide all available information to be included in our list of active coaches. Be sure you have reviewed the list of required Coach Education Requirements at the RugbyOregon.com Coach Education page. Annual Registration with USA Rugby is a pre-requisite for all Rugby Oregon Members. Attach all certificates at the bottom.

 

Basic Information

 

This is your USA Rugby / USA Youth and High School Rugby National ID. You can find this number by logging in to your account at Rugby Xplorer.

 
 
 
 
 
 
 

 

All Participants

 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

 

All Coaches

 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

 

Contact Coaches

 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

 

High School Head Coaches

 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

 

Additional Credentials

 
 
mm/dd/yyyy
 

 

Uploads

 

Please upload any proof of certifications or education requirements here.

Drop your files here