Platinum Mentorship Application

Please complete this short questionnaire so I can learn more about your goals, challenges, situation, and whether we would be a good fit to work together.

Once you have completed the application, please book a time for us to speak.

Full Name *

Date of birth *

Email *

Phone *

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Country *

Which team/teams are you currently playing for *

What is your long-term goal in rugby? (E.g. I want to play for my national team at the next World Cup *

What are your strengths as a rugby player *

What areas of the game do you need to improve to reach your goal *

Parent/Guardian Name (if you're under 18)

Parent/Guardian Email (if you're under 18)