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summercamps@ulsterrugby.com
028 9049 3111
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Schedule of Camps
Week Start Date End Date Venue Venue
Week 1 05/07/10 09/07/10 Shawsbridge Belfast City of Derry RFC
Week 2 12/07/10 16/07/10 Letterkenny - Aura Leisure Centre -
Week 3 19/07/10 23/07/10 Coleraine RFC Shawsbridge
Week 4 26/07/10 30/07/10 Ballymena RFC Lisburn RFC
Week 5 02/08/10 06/08/10 Campbell College Belfast Banbridge RFC
Week 6 09/08/10 13/08/10 Carrickfergus RFC Ballynahinch RFC
Week 7 16/08/10 20/08/10 Royal Belfast Academical Institution Armagh RFC
Week 8 23/08/10 27/08/10 Bangor RFC Clogher Valley RFC
Senior 09/08/10 13/08/10 University of Ulster, Jordanstown
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Application Form How did you find out about Ulster Rugby Summer Camps?
Website School Rugby Club Newspaper Email Centra Store Other
This booking form must be completed by a Parent/Guardian. A separate
booking form must be used for each child attending the camps. Please If Other, please specify:
complete the form using BLOCK CAPITALS. All information must be
completed. Camp Booking Information
Child’s Details Camp Venue: Date:
Child’s Name:
Photo consent
Date of birth: Age: I hereby consent to Ulster Rugby or its agents photographing or videoing
my child’s involvement in the Ulster Rugby Summer Camps
male female
Signature:
Address:
Parental consent
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
Signature:
Payment details
Parent/Guardian Email: • Cheques and Postal Orders must be made payable to ‘IRFU
(Ulster Branch)’
Parent/Guardian daytime no: Mobile: • Cheques must have bank guarantee card number on reverse with
names and address of applicant.
• MAESTRO/VISA/MASTERCARD payments also welcome
Rugby club (if applicable):
(3% handling charge on all credit cards).
• Online booking available on www.ulsterrugby.com
School: (£3 booking fee applicable
Kukri
T-shirt size 7-8 9-10 11-12 13-14 M L XL
Please detail any medications/treatments that your child is taking: Application forms should be returned to Ulster Rugby Summer Camps,
Ravenhill Grounds, 85 Ravenhill Park, Belfast, BT6 0DG