NY Locals Connecticut Camp Registration Form
Thank you for your interest in attending the PR7's RISE camp hosted by the New York Locals. Please fill out the information below to secure your spot and if you have any questions please reach out to sofina.hibbeln@prsevens.com
I will be attending
*
Sunday, June 22 (GIRLS) 10am-11:30am
Sunday, June 22 (BOYS) 11:30am-1:00pm
Player Name
*
First Name
Last Name
Player Date of Birth
*
-
Month
-
Day
Year
Date
Player/Parent Email
*
example@example.com
Player/Parent Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Player Shirt Size
*
Please Select
XS
S
M
L
XL
Medical Information
Does the player have any allergies? Please specify food allergies as well for lunch.
*
Does the player have any medical needs our medical staff should be aware of?
*
USA RUGBY ID (if player holds)
Please upload a photo of the participant's medical insurance card (if holds)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Required Forms
Please read each form below and then the "Start Signing" button on each form below to sign
Payment
*
prev
next
( X )
One Day Camp
$
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: