Name:

Address:

Telephone:

Email Address:

Rugby Club:

Preferred Position:

Can Also Play: 1 2 3 4 5 6 7 8 9

  10 11 12 13 14 15

Approx when will you arrive? Saturday afternoon Saturday evening Sunday morning

T-Shirt Size: S M L XL XXL

Vegetarian? No Yes

Will you be camping? No Yes - Saturday Night Yes - Sunday Night

Is there anything else you would like us to know?
(Medical condition, allergy etc.):