Summer Holiday Activities - July/August 2024

Performance Camps

U15s Form

Personal Information

First name (Participant)*

Last name (Participant)*

Date of Birth (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*

N/a

Day 2 - Blue*

N/a

Bath - Stothert & Pitt RFC - 29th August

Day 3 - Red*

N/a

Bath - Stothert & Pitt RFC - 30th August

Payment Products*

1 Day Only£25

2 days£45

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