www.ulsterrugby.com [email protected] 028 9049 3111

Online booking available - visit www.ulsterrugby.com

All participants will receive a T-shirt, Bootbag and a Rugby Ball Rugby Summer Camps Girls’ Youth Camps: Aged 12-18 years The Girls’ Youth camps will take place at 3 venues in the Province. These camps Junior Camps: Aged 6-12 are specifically tailored to the needs of young female participants who wish to become involved in the game. No previous rugby experience is necessary to There will be 19 Junior camps located at a variety of venues throughout the attend. Province. These camps are open to both boys and girls and you do not need to Duration: Monday – Wednesday, 9.30am – 1.30pm daily have previously played rugby to attend. Cost: £35/ 45 per participant Duration: Monday – Friday , 9.30am – 1.30pm daily Cost: £55/ 75 per participant, £45/ 60 Special Needs Summer Camp: Aged 6+ second camp discount. The Special Needs Summer Camp is specifically tailored to participants with Senior Camp: Aged 13-17 learning difficulties, under the guidance of suitably trained staff. This camps will operate in 2 age categories, Under 15 and Over 15. No rugby experience is The senior camp will be based at the University of Ulster Jordanstown. The camp required to attend. is open to both boys and girls with previous rugby experience. Duration: Monday – Wednesday, 9.30am – 1.30pm daily Duration: Monday – Friday, 9.30am – 2.30pm daily Cost: £35/ 45 per participant Cost: £85/ 115 per participant Terms and Conditions A full set of terms and conditions are available from www.ulsterrugby.com. Schedule of Camps - Junior (Monday - Friday) DATE VENUE VENUE 2 VENUE 3 06/07/2015 Dungannon RFC Harlequins RFC Larne RFC 13/07/2015 Cavan RFC 20/07/2015 Ballymena RFC Enniskillen RFC Ballynahinch RFC 27/07/2015 Carrickfergus RFC City of Derry RFC Ballyshannon RFC 3/08/2015 Stormont Pavillion Coleraine RFC 10/08/2015 Lisburn RFC Letterkenny RFC Randalstown RFC 17/08/2015 Rainy Endowed School Banbridge RFC Ards RFC 24/08/2015 Omagh RFC Additional Camps 10/8/15 – 14/8/15 Senior Camp Ulster University Jordanstown 3/8/15 – 5/8/15 Girls Youth Camp Enniskillen RFC 10/8/15 – 12/8/15 Girls Youth Camp Armagh RFC 17/8/15 – 19/8/15 Girls Youth Camp Malone RFC 3/8/15 – 5/8/15 Special Needs Camp Newforge Country Club

How did you find out about Summer Camps? Website School Rugby Club Newspaper Email Centra Store Other Application Form If Other, please specify: This booking form must be completed by a Parent/Guardian. A separate booking form must be used for each child attending the camps. Please Camp Booking Information complete the form using BLOCK CAPITALS. All information must be Camp Venue:______Date: completed. Photo consent Child’s Details I hereby consent to Ulster Rugby or its agents photographing or videoing Child’s Name: my child’s involvement in the Ulster Rugby Summer Camps Signature: Date of birth: Age: Parental consent male female 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 Address: Signature: Print name:______Date: Name of Parent/Guardian: Payment details • Cheques and Postal Orders must be made payable to ‘IRFU Parent/Guardian Email: (Ulster Branch)’ • Cheques must have bank guarantee card number on reverse with Parent/Guardian daytime no: names and address of applicant. • MAESTRO/VISA/MASTERCARD payments also welcome Mobile: (3% handling charge on all credit cards). Rugby club (if applicable): • Online booking available on www.ulsterrugby.com (£3 booking fee applicable) School:

Kukri 7-8 9-10 11-12 XS S M L XL T-shirt size

Medical declaration Valid From: / Expiry: / Does your child have any medical conditions that we need to be aware of? Y/N

If yes please provide details: Amount: £ 3 Digit Security Code Please detail any medications/treatments that your child is taking: Application forms should be returned to Ulster Rugby Summer Camps, Kingspan Stadium, 85 Ravenhill Park, Belfast Bt6 0DG