Vunipola Easter Rugby Camp Booking Form
Venue: Oxford Harlequins RFC, Marston Ferry Road

Dates: Weds 12th April - Thurs 13th April

Booked places are not confirmed until payment has been received.

You'll need to provide a packed lunch and snacks for players attending. Please ensure all players arrive with gum shield, boots, tracksuit and a waterproof drill top. Players should wear baselayers and dress appropriately for the weather.


Sign in to Google to save your progress. Learn more
Please confirm number of days: *
Required
Parent's / Guardian's Name *
Address *
Town / City *
Post Code *
Email *
Mobile Number *
Home Number
Child / Player's Details
Child's first name *
Child's last name *
Date of Birth *
dd/mm/yyyy e.g. 03/04/2003
Age *
Has your child previously played contact rugby? *
School or Rugby Club *
e.g. Oxford Harlequins RFC
Medical Information
Please detail if your child has any dietary requirements, illnesses or injuries that we should be aware of e.g. diabetes, asthma, epilepsy.

Please note that by completing this form you acknowledge and consent that in the event of an accident or injury we may have to take your child offsite to obtain medical assistance and this may be done without contacting you in an emergency.
Condition / Dietary Requirement / Medication / Additional Information
Please provide full details below
Prescribed Medication
Please provide a full description below
Doctor's Name
Doctor's Telephone
Booking Terms & Conditions
Payment is regarded by us as the customer's acceptance of the booking conditions. Receipt of your booking form and payment in full will be followed by our booking confirmation. If the booking cannot be accepted we shall endeavour to offer you an alternative rugby course. If this is not suitable we will refund your payment.

We reserve the right to to exclude or refuse any person, at any time prior to, or during the rugby course, if, in our opinion, that person is not compatible with the general enjoyment and objective of the course. Any costs involved will be at the parent's expense and their responsibility.

You accept that the sporting activities of any course on which the participant is enrolled involve an inherent risk of injury. We will undertake all necessary risk assessments and provide the Courses in as safe an environment as possible and you accept that we will not be liable for any direct or indirect loss, damage or injury arising from or in connection with the activities on the Course and you waive all and any such claims against us.

Nothing in this disclaimer shall attempt to limit in any way our liability for any matter for which it would be illegal or unlawful for us to exclude or attempt to exclude our liability.

During our rugby courses photographs may be taken of participating players for use in our business activities. All booking form details will be held for the purposes of promoting future courses.

All details are published in good faith. All published itineraries are merely samples and therefore subject to alteration, according to weather, programme change requirements or other consideration.
Your agreement to the Booking Terms and Conditions *
Please tick the box below (this constitutes your permission for us to use photos and/or video of the Participant, your acceptance of our Booking Terms and Conditions and allows first aid/medical attention to be administered to your child on or offsite as necessary)
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oxford Quins. Report Abuse