Residency & Camp Registration
Register for ADULT Residency and Camps 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 - Tlewis874@gmail.com
Email *
What camp are you interested in attending? *
Required
First Name (Legal Name) *
Last Name (Legal Name) *
Cell Number *
Current School/Cub *
Rugby Sevens Position *
Height
Weight
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
ARPTC Status *
USA Rugby CIPP Number *
Parent/Guardian First & Last Name *
Parent/Guardian Email Address *
Parent/Guardian Cell Phone Number *
Medical Insurance Carrier
Medical Insurance Number
Emergency Contact Name *
Emergency Contact Phone Number *
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.
Submit
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