Women's Rugby Registration Form

Rugby Camp Registration Form

Hello and thank you for expressing interest in our Get Into Rugby Camp. Please use this form to provide the information required in order to attend the Rugby Camp scheduled to take place on Thursday, February 23rd and Friday, February 24th. If you have any questions, please contact us at barbadoswomensrugby@gmail.com
CAMPER INFORMATION
Camper's Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Age*
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please state if the camper had any previous injuries or current medical issues. Are they on any medication?*
EMERGENCY CONTACT INFORMATION

In the event of an emergency, please contact:
Emergency Contact #1
Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Relationship to Camper*
Emergency Contact #2
Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Relationship to Camper*
I agree and understand the terms and conditions below
Barbados Rugby Football Union and Bajan Pride Women's Rugby Club will not be held liable for any injuries sustained during, before or after the Rugby Camp to be held at the Garrison Savannah, February 23rd and February 24th.
Should be Empty:

Rugby Camp Registration Form