PLAYER LOAN APPLICATION FORM PLAYER’S NAME PLAYER’S CLUB OF ORIGIN PLAYER’S CLUB OF DESTINATION DATE LOAN TO COMMENCE DATE LOAN TO CONCLUDE REASON FOR LOAN APPLICATION APPROVAL OF PLAYER’S RUGBY CLUB OF ORIGIN NAME: SIGNATURE: APPROVAL OF PLAYER’S CLUB OF DESTINATION DATE: NAME: SIGNATURE: APPROVAL OF OTHER PROVINCIAL UNION (where the loan is to a Canadian club outside of Ontario) APPROVAL OF RUGBY ONTARIO DATE: NAME: SIGNATURE: DATE: NAME: SIGNATURE: DATE: This loan application must be received by the Rugby Ontario office a minimum of 7 days prior to commencement of the loan period. Please complete and submit this form to the Rugby Ontario at: [email protected] Rugby Ontario www.rugbyontario.com Funded by the Ministry of Tourism, Culture and Sport
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