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Rugby Camp Application Form 2022
USE THIS FORM FOR ONE PERSON ONLY
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Email
*
Your email
CONTACT INFORMATION FOR PARENT OR GUARDIAN OF THE CHILD
Known name and surname
*
Your answer
Address:
*
Your answer
Emergency Numbers (day and evening):
*
Your answer
Primary Daytime Contact Number during Campus Camp:
*
Your answer
The following details will help us to care properly for your child when they are in camp. All information given to us will be treated as confidential.
If there are any medical problems which may affect your child's week of sport, please give details.
*
Your answer
Are there any allergies that we need to be aware of?
*
Your answer
CHILD INFORMATION
Child's known name and surname:
*
Your answer
Age (in years on the 8th August 2022):
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Your answer
Address (if different from Parent/Guardian's address):.
Your answer
If YES, please give any details relating to the medication that our staff should be aware of:
Your answer
Is your child taking any medication? YES / NO.
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Yes
No
Booking - I would like my child to attend: (Payments can be made by either calling 01970 622280 or at The Sports Centre Reception.) Priority for 3 day bookings
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1 Day = £25
2 Day = £50
3 Day = £60
If you receive FSM, please tick here
Which Days? Select the days they will be attending.
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Wednesday
Thursday
Friday
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