Step 1 Team Contact Information: Complete online form with general club and contact information.

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1 2014 USA RUGBY MEN S DIVISION II COLLEGIATE PLAYOFFS (REGIONALS) Washington University St. Louis, MO November 22-23, 2014 VENUE Washington University South Campus 6501 Clayton Road St. Louis, MO CONTACTS USA Rugby On-Site: Erik Geib, & egeib@usarugby.org USA Rugby Eligibility: James Wilber, & jwilber@usarugby.org Match Commissioner: TBA Host Committee: Coach Justin Whitton, , jwhitton@whittongroup.com John Stackpole, , jstackpo@slu.edu LODGING While a block of rooms has been secured at the following location, clubs are encouraged to research alternatives as there are other pricing options available in the immediate vicinity. Hampton Inn & Suites Clayton 216 North Meramec Avenue Clayton, MO T: ext Fax: $139 per night plus tax Please contact Kathleen.Simmons@hilton.com ELIGIBILITY Please Contact James Wilber (jwilber@usarugby.org) at USA Rugby if you need to file an eligibility waiver request or have a question about the eligibility regulations. Championship paperwork should be sent to James Wilber (jwilber@usarugby.org). Step 1 Team Contact Information: Complete online form with general club and contact information. Step 2 Team Participation Agreement (Attached): This form must be signed and dated by your team representative, as well as an Athletics or Club Sports Department representative. This affirms that you understand what is required of you and your team at a USA Rugby National Championship Event. Completed forms should be forwarded along with those referenced in Step 3 to jwilber@usarugby.org. Step 3 **If any rostered member of your team has received an eligibility waiver for any purpose, please include a copy of that waiver along with your form. Collegiate Player Eligibility Form: To be completed prior to competition in USA Rugby College Playoffs and Championship Events.

2 2014 USA RUGBY MEN S DIVISION II COLLEGIATE PLAYOFFS (REGIONALS) Washington University St. Louis, MO November 22-23, 2014 Collegiate Player Eligibility Form Grandfather Clause: To be completed prior to competition in USA Rugby College Playoffs and Championship Events, if your team has players who are not eligible under the standard regulations but who are eligible under the grandfather clause of those regulations. Completed forms should be forwarded along with those referenced in Step 2 to jwilber@usarugby.org. Step 4 Participation Waiver (Required of all participants): The participation waiver is no longer separated into adult and minor forms, but combined in a single document. A complete copy of this form need be presented by all players at check-in. Should a minor player have completed a waiver for participation in college rugby, please ensure that the athlete s parent/guardian provides the appropriate signatures on the participation waiver and that the completed U18 Participation in Adult Rugby Waiver is present at check-in. Step 5 Event Media Release Agreement (Attached): This form must be signed and dated by all participating players. All players are to sign and date the form. If a player is under the age of 18, the player and his/her parent or legal guardian must complete the form and also complete a copy of the final page of the document. Please use the attached Championship Checklist to confirm achievement of all five steps. Championship paperwork may be returned to jwilber@usarugby.org. TRAINING SCHEDULE Training times will be available anytime Friday. To schedule a training, please contact Justin Whitton, , jwhitton@whittongroup.com or John Stackpole, , jstackpo@slu.edu. TEAM CHECK IN If there is a problem with your team s scheduled check in time, please contact Erik Geib (egeib@usarugby.org) to re-arrange as soon as possible. Your team must be fully checked in at least 1 hour prior to your kick off. Team Check-in Times: Friday, November 21, 2014 at Saint Louis University Simon Recreation Center, 3639 Laclede Ave, St Louis, MO :00-7:15: St. Louis University & Victor of WIIL vs. Northern Lights play-in match 7:15-7:30: University of Minnesota Duluth & Victor of Deep South vs. Rocky Mountain play-in match COACHES MEETING: Friday, November 21, 2014 at Saint Louis University Simon Recreation Center, 3639 Laclede Ave, St Louis, MO Coaches meeting will take place immediately following check-in at 7:45 PM. You must have at least one representative from your team at this meeting! This is your opportunity to ask any and all questions about the event, as well as to be notified of any last minute changes.

3 2014 USA RUGBY MEN S DIVISION II COLLEGIATE PLAYOFFS (REGIONALS) Washington University St. Louis, MO November 22-23, 2014 WARM-UP FIELDS We will be utilizing one main field for this event. Games on Saturday and Sunday will be scheduled with one hour time gap between contests to permit each squad s use of one half of the field for warm-ups. TICKETS Tickets for attendance will be $10.00 at the gate each day for all fans, and $7.00 for any fans producing a student identification. Admission to all players and coaches is free. MATCH SCHEDULE November 22-23, 2014 **Schedule is subject to change until Monday, November 17. If you have any scheduling questions, please contact James Wilber (jwilber@usarugby.org). Match Day Time Field Team 1 Team 2 1 Saturday 11:00 1 St. Louis University Univ. Wisconsin - Stout 2 Saturday 1:30 PM 1 University of Minnesota-Duluth Colorado College 3 Sunday 11:00 1 Loser Match 1 Loser Match 2 4 Sunday 1:30 PM 1 Winner Match 1 Winner Match 2

4 2014 USA RUGBY MEN S DIVISION II COLLEGIATE PLAYOFFS (REGIONALS) 2014 USA Rugby Collegiate Playoffs & Championships Championship paperwork may be returned to jwilber@usarugby.org Form Due Date Format Complete? 1. Team Contact/Information Form Tuesday, November 18 Online Team Contact Information 2. Team Participation Agreement Tuesday, November 18 -Must include signature of College/University Rep. and Conference Rep. 3. Collegiate Player Eligibility Form Tuesday, November 18 -Teams may clear more than 28 but can only check-in Individual Participation Waivers Check-In Paper Participation Waiver (Required of all participants) Friday, November 21 Minor players will require parent/guardian signatures on the participation waiver, AND a completed U18 Participation in Adult Rugby Waiver present at check-in 5. Event Media Release Agreement Check-In Paper -Must include all sideline staff signatures Friday, November 21 -Must include a complete minor media waiver form for all minor participants Documents in your Folder (received at meeting): USA Rugby Code of Conduct USA Rugby Inclement Weather Policy USA Rugby Overtime Policy USA Rugby Technical Zone & Sideline Management Guidelines USA Rugby Tournament Information Packet

5 Formal Acceptance of the Team As conditions for participation in the USA RUGBY Playoffs and Championships we affirm that: 1. The Team noted below accepts the responsibility for participation in the USA RUGBY Playoffs and Championships in accordance with the rules, regulations, and guidelines of USA RUGBY. 2. The Team will make its best efforts to arrive at the tournament site no later than the USA RUGBY designated check in time posted to the USA RUGBY web site. a. In the event that unavoidable circumstances prevent the team from timely arrival, the team will notify the USA RUGBY designated person (see Tournament Information Packet on the Championships section of as soon as possible. 3. The Team representative will participate in all meetings and functions as designated by USA RUGBY to include the Captain s/manager s Meeting. a. In the event that unavoidable circumstances prevent the team from attending such a meeting a team representative will notify the USA RUGBY designated person (see Tournament Information Packet on the Championships section of as soon as possible. 4. The Team will participate in all assigned matches, and be at the pitch prepared to play no later than 15 minutes prior to kick off. 5. The Team accepts responsibility for ensuring all team members are in like uniforms, i.e. matching socks, shorts, jerseys numbered 1-23 with players wearing numbers appropriate to the position played, to include the wear of IRB approved protective garments and boots. 6. The College Team uniforms will be free of any and all tobacco or alcohol sponsors, and/or other categories as reasonably notified by USA RUGBY. 7. By virtue of its acceptance of the opportunity to play in this tournament, the Team, and any and all clubs with which it is affiliated, affirm that all team members are CIPP registered, and have, through the execution of a CIPP registration form, confirmed that they will have a minimum of $100,000 in medical coverage throughout the USA RUGBY season, including this tournament, and that any member who does not have such coverage has an affirmative responsibility to withdraw from play. 8. The Team accepts responsibility for ensuring that all team members are eligible to participate in the USA RUGBY Playoffs and Championships in accordance with USA RUGBY s Eligibility Guidelines. a. The Team accepts responsibility for ensuring to the best of their ability that all team members have accurately represented their citizenship, residency, resident alien and/or PI v1 Team Rep. Initial College/University Rep. Initial LAU/GU/Conference Rep. Initial

6 resident player status to USA RUGBY and have the appropriate documentation to verify such status. b. All team members have been informed that any member who does not meet the USA RUGBY requirements for citizenship, residency and/or resident alien has an affirmative responsibility to withdraw from play. 9. The Team accepts responsibility for informing all team members and coaching staff of their responsibility to display sportsman-like conduct and appropriate behavior on or off the field. 10. The Team agrees that this agreement shall be governed by and construed in accordance with the rules, regulations and guidelines of USA RUGBY. 11. The Team accepts that the failure of any player to honor this agreement may place the player(s) and/or their team, Conference, Local Area Union, and/or Geographic Union in jeopardy of sanctions and disciplinary proceedings, including, but not limited to the potential for disqualification from this event, fines to players, clubs or teams, and/or loss of a seed in future USA RUGBY sanctioned events. Team Representative Name (Print): Team: Signature of Representative: Date: *Please make sure to initial at the bottom of Page 1 LAU/GU/Conference Representative Name (Print): LAU/GU/Conference Representative Title (Print): Signature of Representative: Date: *Please make sure to initial at the bottom of Page 1 **IF PARTICIPATING IN A USA RUGBY COLLEGIATE PLAYOFF EVENT (BELOW)** College/University Representative Name (Print): College/University Representative Title (Print): Signature of Representative: Date: *Please make sure to initial at the bottom of Page 1

7 Event Media Release Agreement We hereby authorize and give our full consent to USA RUGBY to copyright and/or publish any and all photographs, videotapes, film, web casts/podcasts, and any other form of visual/audio communications in which we appear (separately or together) while attending any USA Rugby Championships event. We further agree that USA Rugby may transfer, use or cause to be used, these above mentioned communications for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. Signature Printed Name Date **NOTE: All players under the age of 18 MUST fill out the form signifying parental permission on the final page of this document. If a parent/guardian signature is missing prior to the event the under-18 player will not be allowed to participate.

8 Event Media Release Agreement We hereby authorize and give our full consent to USA RUGBY to copyright and/or publish any and all photographs, videotapes, film, web casts/podcasts, and any other form of visual/audio communications in which we appear (separately or together) while attending any USA Rugby Championships event. We further agree that USA Rugby may transfer, use or cause to be used, these above mentioned communications for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. Signature Printed Name Date **NOTE: All players under the age of 18 MUST fill out the form signifying parental permission on the final page of this document. If a parent/guardian signature is missing prior to the event the under-18 player will not be allowed to participate.

9 Event Media Release Agreement We hereby authorize and give our full consent to USA RUGBY to copyright and/or publish any and all photographs, videotapes, film, web casts/podcasts, and any other form of visual/audio communications in which we appear (separately or together) while attending any USA Rugby Championships event. We further agree that USA Rugby may transfer, use or cause to be used, these above mentioned communications for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. Signature Printed Name Date **NOTE: All players under the age of 18 MUST fill out the form signifying parental permission on the final page of this document. If a parent/guardian signature is missing prior to the event the under-18 player will not be allowed to participate.

10 2014 USA RUGBY NATIONAL CHAMPIONSHIP SERIES Event Media Release Agreement USA RUGBY MEDIA WAIVER (MINORS) I hereby authorize and give my full consent to USA RUGBY to copyright and/or publish any and all photographs, videotapes, film, web casts/podcasts, and any other form of visual/audio communications in which I appear while attending any USA Rugby Championships event. I further agree that USA Rugby may transfer, use or cause to be used, these above mentioned communications for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. Signature Printed Name Date Parent/Guardian must sign: Signature of Parent/Guardian Printed Name of Parent/Guardian Date