Course fees: €85 per child This booking form must be completed by a Parent/Guardian. Family discount: 1st child €85 A separate booking form must be used for each application. 2nd & subsequent child is €75 each MUNSTER Course Info: Please complete the form in full using BLOCK LETTERS. Time: 9.30am – 1.30pm (Monday – Friday) Ages: Boys and Girls aged 6-13 years RUGBY Camp Venue: ______Date:______Contact Munster Rugby: Childs Name: ______Tel: 021-4323563 Age: ___Date of Birth: ______Male Female Email: [email protected] Address:______Postal Address: Summer Camps Munster Rugby Summer Camps, ______Musgrave Park, Ballyphehane, Cork. 2012 ______Closing Date: Register online at www.munsterrugby.ie Home Phone No.(Parent/Guardian):______• There are limited places available at the camps and Parent/Guardian Mobile(s):______all will be filled on a first come first served basis. E-mail Address:______• Please book early to avoid disappointment Register on-line now at www.munsterrugby.ie Rugby Club (if applicable):______ School:______Due to player commitments to the IRFUs overseas tours this summer, international players will be limited in their ability to visiit the Munster Rugby Are there any medical conditions/medication which may Summer Camps. Munster Rugby endeavours to ensure that contracted and affect your child? (If so please state) academy players will attend all camps ______

I give permission for ______• Munster Rugby Summer Camps 2012 hours are from 9.30am-1.30pm to attend the Munster Rugby Summer Camp 2012. • Munster Rugby is not responsible for children left unsupervised outside these hours. Signed:______Date:______• Payment is considered as acceptance of the booking conditions. • Cancellations made up to one weeks before the camp will receive a 50% refund. Any cancellations made after this time will not be refunded. • Munster Rugby can not be held liable for damage to or loss of possessions • Munster Rugby cannot be held liable for any medical expenses incurred as Cheques & Postal Orders a result of injury obtained on the Munster Rugby Summer Camps. It is un- • Cheques and Postal Orders must be made payable derstood that all participants take part at their own risk and are required to Munster Rugby to have their own insurance cover in place. • Cheques must have bank guarantee card number • All Munster Rugby Summer Camp staff have undertaken the National on reverse of cheque with name and address of applicant Garda Vetting process and currently comply with the IRFU policy regarding recruitment and vetting to work in age grade rugby. LASER/SWITCH/VISA/MASTERCARD payments also welcome • We strongly recommend that all valuables be left at home. (3% Handling Charge) • Munster Rugby will reserve the right to suspend any child that causes disruption to the camp due to misbehaviour. Sponsored by • A confirmation letter will be sent by e-mail or post as proof of booking. • By signing this form, you accept that your child may be used in photo Expiry: / Amount: € (3 digit security code) graphic or video material for promotional purposes by Munster Rugby. • Parent/Guardian must be contactable during camp hours. • Munster Rugby will use it’s best endeavours to ensure that professional Please return application forms to: players attend all camps. Munster Rugby Summer Camp 2012, • All data gathered from this form is subject to the Munster Rugby privacy policy as outlined on www.munsterrugby.ie Visit your local participating Centra store to win a Musgrave Park, Ballyphehane, Cork. free place on a Munster Rugby Summer Camp. Week 1. Centra is delighted to sponsor the Munster Rugby Summer Official Munster Rugby Summer Camp Kit Includes: Monday 2nd July - Friday 6th July • Adidas Summer Camp T-Shirt • Adidas Shorts Newcastle West R.F.C. Camps, which have proved extremely popular with young fans over the past 4 years, in this our fifth year of sponsorship. • Adidas Socks • Adidas Draw String Bag Garryowen F.C. • Mouth Guard Highfield R.F.C. The camps provide a great opportunity for Centra retailers • 1 Junior ticket to Munster Pre-Season Match Week 2. • 1 Summer Camp Attendance Certificate Monday 9th July - Friday 13th July to make yet another positive contribution to the local com- Fermoy R.F.C. munities in which they operate and to be involved in an activity Please tick the appropriate sizes Fethard R.F.C. that encourages and facilitates children to play sport at an Sock Sizes Kilrush R.F.C. early age. We also believe, this early interaction with sport SIZE 0 13k-2 Week 3. promotes active lifestyles and healthier food options amongst SIZE 1 2.5-4 Monday 16th July - Friday 20th July our younger customers. SIZE 2 4.5-6 Waterpark R.F.C. SIZE 3 6.5-8 Bandon R.F.C. These summer camps are a fun and interesting way for kids SIZE 4 8.5-11 Cobh R.F.C. to learn the game of rugby under the guidance of professional Week 4. coaches and with the encouragement of some of Munster’s T-Shirt Sizes Monday 23rd July - Friday 27th July best players who visit the camps. XXS 6-8 Years Midleton R.F.C. XS 9-11 Years Cashel R.F.C. I am also confident that introducing children to the game of Small Adult 12-14 Years Killarney Community College rugby through the Munster camps, will help produce some Medium Adult

Week 5. much needed stars for the future. Short Sizes Monday 30th July - Friday 3rd August XXS 24”-26” Thurles R.F.C. XS 26”-28” Tralee R.F.C. Martin Kelleher, S 28”-30” Muskerry R.F.C. (Ballyanly, Cork) Managing Director, Centra M 32”-34” Week 6. Monday 6th August - Friday 10th August Castleisland R.F.C. Ballincollig R.F.C. Bruff R.F.C. Week 7. Monday 13th August - Friday 17th August Nenagh R.F.C. The Friary School, Dungarvan Corca Dhuibhne R.F.C. Week 8. Monday 20th August - Friday 24th August. Old Crescent R.F.C. Coláiste Stiofáin Naofa, Cork Skibbereen R.F.C.

Event Photography will be available at each camp to provide individual action shots of your children. Magazine cover style prints can be purchased for €15 each.