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The Rugby Advantage | Carmel Girls Camp | February 19-21st
Reserve your spot for the Carmel Girls Camp, In partnership with Rugby Indiana | February 19-21st
PLAYERS MUST BE REGISTERED WITH RUGBY INDIANA TO PARTICIPATE
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* Indicates required question
Email
*
Your email
Participant Full Name
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Your answer
Email
Your answer
Cell
Your answer
Age
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Your answer
Select a camp
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Youth (8-13)
High School (14-18)
Current Club
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Your answer
Are you a member of Rugby Indiana?
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Yes
No
USA Rugby CIPP #
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Your answer
Insurance #
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Your answer
Insurance Provider
*
Your answer
Emergency Contact Name
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Your answer
Emergency Contact Cell #
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Your answer
Emergency Contact Email
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Your answer
I am aware that this is me reserving my daughter and I will bring a check of the amount stated below on the day, made payable to (Ryszard Chadwick)
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Youth ($60) (2/19 - 9am - 12pm )
High School ($150) (2/20 - 2/21 - 10am-3pm)
I am aware that once registered there is no refund 30 days before camp begins.
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Yes
My daughters T-shirt size is:
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Youth S
Youth M
Youth L
S
M
L
XL
XXL
Other:
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