Performance Days
Summer 2024
Girls ONLY Booking Form 1

Personal Information

First name (Participant)*

Last name (Participant)*

Birthday (Participant)*

Current Rugby Club*

Current School*

Relevant Medical Information*

Additional Need Information*

Parent Contact (First & Last name)*

Parent Email*

Parent Phone*

Additional Emergency Contact Name (if required)

Additional Emergency Contact Tel. No. (if required)

I give permission for photographs and video footage taken of my child whilst at the sessions to be used for promotional purposes.

Day 1 - Green*

Chippenham RFC - 26th July

Weston-super-Mare RFC - 6th August

Imperial RFC - 28th August

Minehead Barbarians RFC - 19th August

Day 2 - Blue*

N/a

Minehead Barbarians RFC - 20th August

Payment Products*

1 Day Only£35

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