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Rugby Injury Support Programme
Please complete this application form to apply for membership to this programme with Solent Sports Injury Clinic.
"
*
" indicates required fields
Name
This field is for validation purposes and should be left unchanged.
Players Name
*
First
Last
Representative Squad
*
Senior Mens
Senior Womens
U20 Mens
U18 Boys
U18 Girls
U17 Boys
U16 Girls PDG
Players Club
*
Parents Name
*
First
Last
Players Email
*
Players Phone
*
Parents Email
*
Parents Phone
*
Consent
I agree to the conditions as detailed below
• I / my child is part of a Hampshire County representative squad.
• All injuries must first be assessed by your team medic, whose report will be sent to Solent Sports Injury Clinic.
• Applications must be made within 4 weeks of representative rugby selection.
• Sports massage is not included in this programme.
• All treatment is carried out under the policies, procedures, and insurance of Solent Sports Injury Clinic.
• The programme covers rugby injuries only.
Signature
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Home
About Us
About Us
Strategy 2025-2028
Our Clubs
Meet The Team
Club Membership
Associate Membership
Hampshire RFU Shop
Back
Get Involved
Events
Vacancies
Our Sponsors
Sponsor Us
Young Rugby Ambassadors
Hampshire RFU Shop
Back
For Clubs
Facilities & Funding
Financial Compliance
Facilities & Funding
Revenue Generation
Travel Funding
Hampshire Rugby Force Fund
What’s On
Fixtures & Competitions
Results
Events
Adult Rugby
Youth Rugby
Schools Rugby
Discipline
Discipline
Report A Red Card
Pay an Admin Fee
Submit a Citing
View a Decision
Safeguarding
Safeguarding
Play it Safe Course Request
Playing out of Age Grade
Combining & Clustering
Tour Approvals
Camp Approvals
Event Approval
Player Welfare
RugbySafe
Report a concussion
First Aid & Injury Management
Back
For Volunteers
Coaching
Coaching in Hampshire
Book A Course
Helping Your Club
Volunteering / Administration
Celebration & Awards
Meet Our Winners
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Refereeing
Refereeing
Young Match Officials
Back
Representative Rugby
Men
Women
Boys
Girls
Player Support
Representative Honours
Back
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