Form B – Team List
Please complete and email this form to [email protected] by
Friday 22nd April, 2016.
Please list legal name – not
preferred name/nickname.
SCHOOL:
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
Given Name
DIVISION:
Surname
DOB
* Ever Played Club RL?
No.
Given Name
Surname
DOB
* Ever Played Club RL?
14
15
16
17
18
19
20
COACH
ASSISTANT COACH 1
ASSISTANT COACH 2
MANAGER
TRAINER 1
TRAINER 2
PRINCIPAL
TOUCH JUDGE
* Ever Played Club RL = has the student been registered to a junior rugby league club, in any
state, from 2007-2015? This enables the QRL to match the students Confraternity participation
data with junior club playing history.