APPLICATION FORM

This booking form must be completed by a Parent/Guardian. A separate booking form must be used for each application. Please complete the form using BLOCK LETTERS. LEARN TO PLAY CHILD’S NAME: Saving’s DATE OF BIRTH: AGE AT CAMP: THE LEINSTER WAY ADDRESS: a hoot BANK OF CAMPS

SCHOOL: CLUB: with Ollie • 5 DAY RUGBY CAMP FOR BOYS AND GIRLS PARENT’S/GUARDIAN’S AGED 6-12 YEARS OLD MOBILE NO.: EMAIL ADDRESS: • MEET LEINSTER RUGBY PLAYERS (CONFIRMATION WILL BE SENT TO EMAIL ADDRESS IF PROVIDED) the Owl • ONE FREE TICKET TO A SELECTED MEDICAL CONDITIONS/MEDICATION WHICH MAY AFFECT YOUR CHILD: LEINSTER GAME • NO RUGBY EXPERIENCE NECESSARY CAMP VENUE: CHOSEN DATE:

T-SHIRTS: PLEASE SELECT T-SHIRT SIZE (IF UNSURE, PLEASE ORDER NEXT SIZE UP) 6 YEARS CHEST 25” 8 YEARS CHEST 27” 10 YEARS CHEST 29” 12 YEARS CHEST 31” 14 YEARS CHEST 35” MEDIUM CHEST 39” LARGE CHEST 42½”

I confi rm 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: Encouraging children to save DATE: regularly, like Ollie, helps them to develop a good habit for life. PAYMENT All payments must be made by the 2nd of June to avail of the Early Bird Set up an account for your price of €75. From the 4th of June, a place on each camp will cost €90 young saver (0–12 years). and €80 per each subsequent child. You can attend another camp for €60 (no kit included). All cheques and post orders must be made payable to EARLY BIRD PRICE: Leinster Rugby. bankofireland.com/youngsaver €75 PER CAMP UNTIL 2ND OF JUNE PLEASE RETURN APPLICATION QUERIES TO: FIND YOUR LOCAL CAMP AT LEINSTERRUGBY.IE/CAMPS FORMS TO: Sheila Cullivan Leinster Rugby Camps / [email protected] Newstead Building A / UCD / 01 22 35 111 Belfi eld / 4.

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

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OMI005567 - Ollie (99x210 Advert).indd 1 10/02/2016 09:54 CAMP DETAILS DATES & VENUES TERMS & CONDITIONS THIS SUMMER, LEARN TO PLAY THE LEINSTER WAY WITH THE The hours of the camp are from for any medical expenses incurred. BANK OF IRELAND LEINSTER RUGBY CAMPS FOR 6-12 YEAR 9.30am to 1.30pm. Leinster Rugby JULY 3RD – 7TH Wexford Wanderers RFC / Donnybrook / Leinster Rugby reserves the right to will not be responsible for any child OLD BOYS AND GIRLS. Terenure College RFC / Portarlington RFC make date and/or venue changes left unsupervised outside these hours. Enhance your game or learn rugby for the first time this summer in one if necessary and will not be held JULY 10TH – 14TH of our 28 camps across the 12 counties of Leinster. No matter what Balbriggan RFC / Mullingar RFC / The Bank of Ireland Leinster Rugby accountable should activities be RFC / Lansdowne FC your ability is there’s a place for you on our rugby camp, giving you Camps are for children aged strictly suspended or cancelled due to the opportunity to learn and improve your skills while meeting new JULY 17TH – 21ST Portlaoise RFC / Tullow RFC / between 6 -12 years. bad weather. friends. The Bank of Ireland Leinster Rugby Camps boasts a wealth of Seapoint RC / Dundalk RFC From the 2nd of June, each camp Photographs may be taken over the experience in a safe fun-filled environment which is full of learning, will be priced at the normal rate of duration of the camps and will be laughter and enjoyment. JULY 24TH – 28TH Clondalkin RFC / Cill Dara RFC / Kilkenny RFC / Navan RFC €90. A second sibling can book a used for promotional purposes. Each day of the camp will see a different aspect of the game being place on a camp for the reduced One free kid’s Leinster ticket will be introduced and progressed through a series of activities and games. JULY 31ST – AUG 4TH Gorey RFC / Tullamore RFC / rate of €80. issued via a code from Ticketmaster This means, all four stages of Mini Rugby are catered for. Daily themes Donnybrook / Coolmine RFC Any child can attend a second camp during the 2017-18 season for a from passing and evasion, to kicking and catching are used to develop AUGUST 7TH – 11TH FC / Garda RFC / for the reduced price of €60 which selected Leinster Rugby game. the skills of each player. All contact activities are taught in a controlled Longford RFC / Boyne RFC can be purchased after the initial environment under the supervision of our highly qualified coaches. The camp will operate on the highest booking. No kit will be included AUGUST 14TH – 18TH North Kildare RFC / Clontarf FC / safety standards. Leinster Rugby with this offer. To avail of family Blackrock RFC / Ashbourne RFC shall not be responsible for any WHY ATTEND A LEINSTER RUGBY CAMP? discounts for a 2nd and/or 3rd illness, disease, accident, or loss of child, all bookings must be made in • 5 day camp Monday to Friday from 9.30am to 1.30pm in property unless occasioned by the the one transaction. 28 venues province wide wilful act of negligence on the part • Meet Leinster Rugby Players A booking fee plus bank charges of of the camp or it’s employees. €5 will apply for all online bookings. • One free ticket to a selected Leinster game Cancellations, for whatever reason, This will not apply for any booking must be made in writing prior to • No rugby experience needed made via post. Confirmation of all the commencement of the camp bookings will be by email. and will be subject to a forfeiture Leinster Rugby has the right to refuse fee. In the event of cancellation admission or to dismiss a participant within 14 days or less, you will be whose conduct is deemed responsible for 50% of the cost of detrimental to other participants of the entire booking. People failing to the camp or Leinster Rugby staff. arrive without prior notification are In such instances, no refunds will responsible for the entire cost of the be made and any additional costs booking. incurred including transport, will be Visit www.leinsterrugby.ie/camps at the Parent’s/Guardian’s expense. for a full list of Terms & Conditions. Parents/Guardians shall be liable

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