Residency & Camp Registration
Register for ADULT or High School Residency using this form. Once you submit your registration information, you will be contacted about camp dates, residency, and important information leading up to your time with ARPTC. Questions? Email - jocelyn.schuermann@americanrugbypro.com
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What camp are you coming to *
Required
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Cell Number *
Your answer
Current School/Cub *
Your answer
Rugby Sevens Position *
Your answer
Height
Your answer
Weight
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Your answer
ARPTC Status *
USA Rugby CIPP Number *
Your answer
Parent/Guardian First & Last Name *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Cell Phone Number *
Your answer
Medical Insurance Carrier
Your answer
Medical Insurance Number
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Anything else we should know? Add any additional rugby related information you feel is important for the ARPTC coaching staff to know at this time.
Your answer
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