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NAME OF PARENT OR GUARDIAN
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Name
*
Email
*
Phone
*
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Address
*
Post Code
*
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DETAILS OF CHILD ATTENDING
Name
*
Age
*
T shirt size
6-7
8-9
10
12
14
L
XL
Amount of Rugby Experience
None
Little
Some
Lots
Position Played
Club Currently Playing For:
EMERGENCY CONTACT
Name
*
Phone
*
Medical conditions or educational requirements coaches need to be aware of
COURSE DETAILS
Choose a course location and date
*
COTTINGHAM 26TH - 28TH MARCH
STANNINGLEY 4TH - 6TH APRIL
KIPPAX 30TH JULY - 1ST AUGUST
OULTON 6TH - 8TH AUGUST
WATH BROW 29TH – 31ST AUGUST
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