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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
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.
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Hampshire RFU Shop
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Facilities & Funding
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What’s On
Fixtures & Competitions
Results
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Adult Rugby
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Discipline
Discipline
Report A Red Card
Pay an Admin Fee
Submit a Citing
View a Decision
Safeguarding
Safeguarding
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
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Refereeing
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Back
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Girls
Player Support
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