NC ALL STARS FALL CAMP - Oct 8th - 10am-4pm
Please fill out the below form to register for the for the NC All Stars Camp 10am - 4pm, Sunday, Oct 8th North East Park, 3421 NE Park Dr, Gibsonville, NC 27249 If you have any questions please reach out to Trevor Caterson @ tcaterson@worldrugbyshop.com
Player Name
*
First Name
Last Name
Which Team are you trying out for?
*
Please Select
High School Girls
High School Boys
Player Birthday
*
-
Month
-
Day
Year
Date
Player Email
example@example.com
Player Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What club do you primarily play for?
*
Who is your Head Coach?
*
What year will you graduate High School?
*
Please Select
2024
2025
2026
2027
How long have you played rugby?
*
Please Select
This is my first year
1-2 years
3-5 years
5-7 years
7+ years
Do you mainly play as a forward or back?
*
Please Select
Forward
Back
Not Sure
What would you say is your primary position?
*
Please Select
Prop
Hooker
Flanker
8 man
Scrum Half
Fly Half
Center
Wing
Fullback
Not Sure
What would you say is your secondary position?
*
Please Select
Prop
Hooker
Flanker
8 man
Scrum Half
Fly Half
Center
Wing
Fullback
Not Sure
Parent/Guardian Name
*
First Name
Last Name
Parent/ Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
2nd Parent/Guardian Name
First Name
Last Name
2nd Parent/ Guardian Email
example@example.com
2nd Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Questions or comments
Payment
*
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Camp Registration Fee
Fee helps cover cost of field rental etc...
$
15.00
Submit
Should be Empty: