Performance Rugby Enquiry FormNameDate of BirthDD-MM-YYYYGenderPlease selectMaleFemalePrefer not to sayEmail AddressMobile NumberNationalitySchool/CollegeDegree you intend to studyYear of EntryPlease list the year in which you intend to start your degree (2022, 2023, 2024 etc…)Predicted GradesOther universities you are interested inCurrent StandardWhat level do you currently play at? – National/Regional/County/Club/SchoolCurrent Club (if applicable)Current CoachHave you attended an open day at Birmingham?Please selectYesNoSendThis field should be left blank
