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- Yeovil RFC – 25th – 26th October 2021
Child's Name
Child's Age
Child's DOB
Medical Conditions
Other Relevant Information
Parents / Guardian Name

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code
Email
Phone
Do you consent for your child to make their own way home from camp at 3.30?
- Yes I give consent
- No I do not give consent
Nominated Person/s For Drop Off & Pick UP
Name

First

Last
Phone
Name

First

Last
Phone
Emergency Contacts
Name

First

Last
Phone
Name

First

Last
Phone
Adding a sibling – 10% sibling discount / child
Sibling 1 Name

First

Last
Child's Age
Child's DOB
Medical Conditions
Sibling 2 Name

First

Last
Child's Age
Child's DOB
Medical Conditions
Photo Consent
- Yes I give consent
- No I do not give consent
Any other information such as additional contact names/numbers

Thank you for booking with Offload Rugby Camps!

Nominated Person/s For Drop Off & Pick UP