SCHEDULE 4 REGULATION 21 9. I have read and understand this Acknowledgement and Agreement. Date: ........................................................................................................... Print Name: ................................................................................................ (Last Name, First Name) Date of Birth: .............................................................................................. (Day/Month/Year) Signature: ................................................................................................... (or, if a minor, signature of legal guardian) *This form may need to be modified for local use Last update: 14 January, 2015 458
World Rugby Handbook
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