West Summer Rugby Camp Registration Form 🏉
Please fill out your child's details, select the days attending, and provide any medical information. Review the consent and proceed with payment.
Participant & Camp Selection
Participant Name
*
First Name
Last Name
Age Group / Level
*
P1
P2
P3
P4
P5
P6
P7
S1
S2
S3
S4
S5
S6
Attendance Date(s)
*
20th July
21st July
22nd July
23rd July
Days Attending
*
Please Select
1 day
2 days
3 days
4 days
Camp Session Notes
Contact & Medical Information
Parent/Guardian Name
*
First Name
Last Name
Relationship to Child
*
Please Select
Mother
Father
Guardian
Grandparent
Aunt/Uncle
Other
Phone Number
*
-
Area Code
Phone Number
Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
-
Area Code
Phone Number
Medical Information, Allergies, and Special Requirements
Consent & Liability
I hereby give my approval for my child’s participation in any and all activities prepared by West of Scotland FC during the selected camp. In exchange for the acceptance of said child’s candidacy by West of Scotland FC, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless West of Scotland FC and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. We will assume permission for photographs to be taken and shared on social media unless stated otherwise. In case of injury to said child, I hereby waive all claims against West of Scotland FC including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including rugby. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Parent/Guardian Signature
*
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P1-3 all 4 days
£60.00
£
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
P1-3 for 1, 2, or 3 days
Please select the number of days attending if it is not for 4 days
£20.00
£
20.00
Quantity
1
2
3
P4-S2 all 4 days
£120.00
£
120.00
Quantity
1
2
3
4
5
6
7
8
9
10
P4-S2 for 1, 2, or 3 days
Please select the number of days attending if it is not for 4 days
£40.00
£
40.00
Quantity
1
2
3
Payment
Submit
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