LA Retrievers Boys Camp Series Registration Form
Thank you for your interest in attending the PR7's RISE boys camp hosted by the LA Retrievers. Please fill out the information below to secure your spot and if you have any questions please reach out to sofina.hibbeln@prsevens.com. T
Camp Series Details:
Dates: Monday, July 21 and 28 Times: 6:30-8:30 Location: JSerra Highschool Address: 26351 Junipero Serra Rd, San Juan Capistrano, CA 92675
Please select ALL days you will be attending
*
Monday, July 21 - 6:30-8:30
Monday July 28 - 6:30-8:30
Please select your age divison
*
BOYS U19
BOYS U23
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?
*
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)
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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
Please specify on the first question of this form which of the sessions you will be attending
*
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One Session
$
55.00
Quantity
1
2
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5
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10
2 Sessions ($10 off)
$
100.00
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
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