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2023 Spirit of Youth Rugby Day Camp Registration Form
Please inform us of your interest in the 2022 Spirit of Youth Rugby Day Camps by providing the following information"
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Email
*
Your email
Participant's First Name
*
Your answer
Participant's Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Participant's Home Postal Code
*
Your answer
Week(s) you wish to attend a Spirit of Youth Rugby Day Camp
*
The week commencing Monday July 10th
The week commencing Monday July 17th
Both weeks
Parent of Guardian's Name
*
Your answer
Parent, Guardian or Contact Person's email address
*
Your answer
Participant's email address (if different from Parent, Guardian or Contact Person's)
Your answer
Parent, Guardian or Contact Person's mobile number
*
Your answer
Participant's mobile number (if different from Parent, Guardian or Contact Person's)
Your answer
Do you understand and accept that Spirit of Youth Rugby Day Camps are operated according to whatever health regulations and procedures are in place at the time, and agree to comply with these procedures?
*
Yes
No
Does the Participant have any health issues we should be aware of?
*
No
Yes
If Yes, please provide details
Your answer
Does the Participant have any dietary requirements we should be aware of?
*
No
Yes
If Yes, please provide details
Your answer
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