APPLICATION FORM This booking form must be completed by a Parent/Guardian. Graduate Banking A separate booking form must be used for each application. Bank of Youth Please complete the form using BLOCK LETTERS. Financial Literacy BANK OF IRELAND CHILD’S NAME: DATE OF BIRTH: AGE AT CAMP: Programme ADDRESS: SUMMER

SCHOOL: Helping young people in primary and second CAMPS CLUB: level education to understand money, so that LEARN TO PLAY THE LEINSTER WAY PARENT’S/GUARDIAN’S they can make better financial decisions MOBILE NO.: throughout life. EMAIL ADDRESS: (CONFIRMATION WILL BE SENT TO EMAIL ADDRESS IF PROVIDED) As a parent, or a school, find out more at MEDICAL CONDITIONS/MEDICATION WHICH MAY AFFECT YOUR CHILD: boi.com/youthfinancialliteracy • 5 DAY RUGBY CAMP FOR BOYS AND GIRLS AGED 6-12 YEARS OLD CAMP VENUE: • 27 CAMP VENUES ACROSS LEINSTER CHOSEN DATE: • MEET LEINSTER RUGBY PLAYERS T-SHIRTS: • ONE FREE TICKET TO A SELECTED PLEASE SELECT T-SHIRT SIZE (IF UNSURE, PLEASE ORDER NEXT SIZE UP) LEINSTER GAME 5-6 YEARS CHEST 58-60cm • NO RUGBY EXPERIENCE NEEDED 7-8 YEARS CHEST 63.5-64cm 9-10 YEARS CHEST 68-71cm 11-12 YEARS CHEST 75-78cm 13-14 YEARS CHEST 82.5-86cm SMALL (ADULT) CHEST 86-96cm MEDIUM (ADULT) CHEST 96-102cm LARGE (ADULT) CHEST 102-112cm

I confirm that all details are correct to the best of my knowledge and I am able to give parental consent for my child to participate.

SIGNED: DATE:

PAYMENT All payments must be made by the 7th of June to avail of the Early Bird price of ¤75. From the 7th of June, a place on each camp will cost ¤90 and ¤80 per each subsequent child. You can attend EARLY BIRD PRICE: another camp for ¤60 (no kit included). All cheques and post €75 PER CAMP UNTIL 7TH OF JUNE orders must be made payable to Leinster Rugby.

PLEASE RETURN APPLICATION QUERIES TO: FORMS TO: Sheila Cullivan FIND YOUR LOCAL CAMP AT LEINSTERRUGBY.IE/CAMPS Leinster Rugby Camps / [email protected] Newstead Building A / UCD / 01 22 35 111 Belfield / 4.

NOTE: The applicant’s name and venue they would like to attend Bank of Ireland is regulated by the Central Bank of Ireland. must be printed on the reverse of the cheque.

OMI024968 Urgent Youth FWB Ad request.indd 1 29/03/2019 13:59 CAMP DETAILS DATES & VENUES TERMS & CONDITIONS LEARN TO PLAY THE LEINSTER WAY WITH THE BANK The hours of the camp are from for any booking made via post. JULY 1ST – 5th Wexford Wanderers RFC / Terenure OF IRELAND LEINSTER RUGBY SUMMER CAMPS. 9.30am to 1.30pm. Leinster Rugby Confirmation of all bookings will College RFC / Dundalk RFC / will not be responsible for any be by email. Enhance your game or learn rugby for the first time this summer Energia Park child left unsupervised outside in one of our 27 camps across the 12 counties of Leinster. these hours. Leinster Rugby reserves the JULY 8th – 12th Clondalkin RFC / Mullingar RFC / No matter what your ability is, there’s a place for you on our right to make date and/or venue RFC / Old Belvedere RFC th changes if necessary and will rugby camp, giving you the opportunity to learn and improve From the 7 of June, each camp will be priced at the normal rate of not be held accountable should your skills while meeting new friends. The Bank of Ireland th th JULY 15 – 19 Portlaoise RFC / Tullow RFC / ¤90. A second sibling can book a activities be suspended or Leinster Rugby Summer Camps boast a wealth of experience in Seapoint RC / Longford RFC place on a camp for the reduced cancelled due to bad weather. a safe fun-filled environment which is full of learning, laughter rate of ¤80. and enjoyment. JULY 22nd – 26th St. Mary's College RFC / Photographs/videos may be Westmanstown RFC / Any child can attend a second taken over the duration of the Each day of the camp will see a different aspect of the game Kilkenny RFC / Navan RFC camp for the reduced price of camps and will be used for being introduced and progressed through a series of activities ¤60 which can be purchased after promotional purposes. and games. This means all four stages of Mini Rugby are catered JULY 29th – AUG 2nd Gorey RFC / Tullamore RFC / the initial booking. No kit will be One free kids Leinster ticket for. Daily themes from passing and evasion, to kicking and Energia Park / Coolmine RFC included with this offer. To avail will be issued via a code from catching are used to develop the skills of each player. All contact of family discounts for a 2nd and/ th th ticketmaster during the 2019-20 AUGUST 5 – 9 DLSP FC / Lansdowne FC / or 3rd child, all bookings must be activities are taught in a controlled environment under the season for a selected Leinster Newbridge RFC / Boyne RFC made in the one transaction. supervision of our highly qualified coaches. Rugby game. AUGUST 12th – 16th North Kildare RFC / Clontarf FC / A booking fee plus bank charges For a full list of Terms & Conditions RFC / of ¤5 will apply for all online WHY ATTEND A LEINSTER RUGBY CAMP? visit: www.leinsterrugby.ie/camps Ashbourne RFC bookings. This will not apply • 5 day camp Monday to Friday from 9.30am to 1.30pm in 27 venues province wide • Meet Leinster Rugby Players • One free ticket to a selected Leinster game • No rugby experience needed • Receive Leinster Rugby Summer Camp kit: Rhino rugby ball, Adidas training t-shirt, boot bag.