Immediate Care in Rugby Registration

Full name:

Phone number:

Email address:

Region you are from:

Role:

Team Doctor Match Day Doctor Physio Nurse

Course attending:

Queenstown, 18-19 November 2024

Have you attended an ICIR course before?

Yes No Don't know

Are you involved in Rugby Union? If so, please outline your involvement (you are still able to attend if you are not involved in rugby).

Any questions: