Summer Camp Flyer 2014 side A.pdf 1 12/03/2014 09:47

CONNACHT RUGBY SUMMER CAMPS ARE OPEN TO BOYS AND GIRLS AGED 6 TO 12 YEARS OLD. THEY RUN MON - FRI FROM 9.30AM TO 2PM. FOR JUST €65 YOUR

C CHILD WILL BE COACHED BY QUALIFIED STAFF, LEARN NEW RUGBY SKILLS WHILE

M SOCIALISING IN A SAFE AND FUN ENVIRONMENT. NO PREVIOUS EXPERIENCE OF PLAYING RUGBY IS REQUIRED. EACH CHILD WILL RECEIVE A RUGBY Y SUMMER CAMP T-SHIRT AND RUGBY BALL. EACH CAMP WILL ALSO BE ATTENDED CM BY PROFESSIONAL PLAYERS FROM CONNACHT RUGBY. PLACES ARE LIMITED SO MY BOOK EARLY TO AVOID DISAPPOINTMENT.

CY

CMY SUMMER CAMP DATES - PLEASE SELECT ONE

K CASTLEBAR RFC 30TH JUNE - 4TH JULY GALWEGIANS RFC 7TH JULY - 11TH JULY RFC 7TH JULY - 11TH JULY SLIGO RFC 7TH JULY - 11TH JULY RFC 14TH JULY - 18TH JULY MONIVEA RFC 14TH JULY - 18TH JULY RFC 14TH JULY - 18TH JULY CARRICK ON SHANNON 14TH JULY - 18TH JULY BALLINA RFC 21ST JULY - 25TH JULY DANGAN NUIG 21ST JULY - 25TH JULY WESTPORT RFC 28TH JULY - 1ST AUG COOLANEY 11TH AUG - 15TH AUG SOUTH SLIGO RFC 18TH AUG - 22ND AUG

Call 091 561568 or visit www.connachtrugby.ie Summer Camp Flyer 2014 side B.pdf 1 03/03/2014 14:30 CONNACHT RUGBY

Booking form must be completed by a Parent/Guardian. Use a separate form for each application. Please complete using BLOCK LETTERS. Child’s Name: ______Date of Birth: ______Age:______Male: Female: Address: ______Home Phone No. (Parent/Guardian): ______Parent/Guardian): ______Rugby Club (if applicable): ______Parents Email: ______C Are there any medical conditions/medication that may affect your child? M I give permission for: ______to attend the ‘CONNACHT RUGBY SUMMER CAMPS’ Y OFFICIAL CAMP PACK I understand that cancellations made up to 2 weeks before the camp will receive CM a 50% refund and any cancellations made after this will not be refunded. T-SHIRT SIZES

MY Signed: ______Date: ______6 Years XSB CY 8 Years SB

CMY 10 Years MB PAYMENT: CHEQUES & POSTAL ORDERS 12 Years LB K Cheques and Postal Orders must be payable to Connacht Rugby. Small Small Man LASER/VISA/MASTERCARD PAYMENTS (3% handling charge) Medium Medium Man

Large Large Man If unsure of size order the next size up Expiry: / Amount: € 3 Digit Security Code:

TERMS AND CONDITIONS • Connacht Rugby is not responsible for children left unsupervised outside camp hours. • Connacht Rugby, will implement the highest safety measures, however, they cannot be held liable or responsible for injuries or medical expenses, damages or loss of possessions incurred during the camp. It is understood that all participants take part at there own risk and have there own insurance cover in place. • We strongly recommend that all valuables including mobile phones are left at home. • By signing this form, you accept that your child may be used in photographic or video material for purposes by Connacht Rugby or the IRFU. • Professional players will visit pending availability. • Places will be filled on a first come first served basis. • Payment is considered as acceptance of booking conditions. • Connacht Rugby Summer Camps reserve the right to suspend any child that causes disruption to the camp due to misbehaviour. • There is a €10 supplement per child registering on the first day of camp. • A confirmation letter will be sent by post or email as proof of booking. • Cancellations made up to two weeks before the camp will receive a 50% refund and any cancellations made after this time will not be refunded. • Connacht Rugby reserve the right to cancel, amend, alter or change any camp or its content without prior notice.

POST COMPLETED APPLICATION FORMS TO: Connacht Rugby Camps, Connacht Rugby, Sportsground, College Rd, Galway. www.connachtrugby.ie