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Register for Canton Rugby Summer Camp! Held at Weis Park in Canton 6/9-6/12 from 6-7:30pm
Player First Name
Player Age
Parent/Guardian First Name
Player Last Name
Player Participation Group
(choose one)
Parent/Guardian Last Name
Parent/Guardian Email:
Parent/Guardian Phone
School/Alternate School Player Attends
Emergency Contact Name and Phone Number
Does the player have prior rugby experience? If so, which clubs/teams?
Player T-Shirt Size
Select an item ($)
*
Summer Camp Fee - $40
By checking this box, I agree that I have read and accepted the Waiver and Release of Liability found here
View Liability Waiver
By typing my initials in this box, I acknowledge that I have read and accepted the liability waiver checked above and that I am at least 18 years of age or the parent/guardian of the participant.
When you hit "Submit" below, your registration information will be submitted to Canton Rugby and you will be redirected to a payment screen. Once your payment has gone through, you will receive a confirmation email. If you have any questions, please contact
PRESIDENT@CANTONRUGBY.COM
SUBMIT
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