Player Registration Please fill out the form below to register as a member of the Northern Thailand Rugby Go backYour message has been sent Full Name / ชื่อเต็ม(required) Warning Team Name/ชื่อทีม Warning Position No? Warning Date of Birth / วันเกิด Warning Email(required) Warning Phone Number Warning I Play / ฉันเล่น(required) Men's Seniors Ladies' Seniors Vets Youth Rugby Supporter Warning Medical: Have you had? / การแพทย์: คุณมี? Concussion? / กระทบกระแทก? Heart Problems? / ปัญหาหัวใจ? High Blood Pressure? / ความดันโลหิตสูง? Covid 19? / โควิด 19? None Other Warning Other Please state Warning Medical Insurance? / ประกันสุขภาพ? Yes / ใช่ No / ไม่ Warning Emergency Contact Details Warning Warning. SendSubmitting form Δ Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Like Loading...