Tuilagi Rugby Skills Booking Form - Coalville RFC - 4 Day Rugby Course
Venue: Coalville RFC, Hall Ln, Whitwick, Coalville LE67 5PF

Dates: Monday 29th July - Thursday 1st August 2019.

Time 9am - 3pm - TAG 9 - 12pm
Ages U7's - U8's TAG & U9's - U15's Contact Rugby
Boys & Girls
No Food Supplied

To pay please make a bank payment direct to Tuilagi Rugby Skills:
Tuilagi Rugby Skills
Lloyds Bank
Account No: 47370768
Sort Code: 30-94-97

Please use your child's name as the payment reference.

Booked places are NOT confirmed until payment has been received.

Please note this course is run and managed by Tuilagi Rugby Skills Limited, 7 Rushy Close,
Thorpe Astley, Leicester LE3 3US

For more information please visit www.tuilagirugbyskills.com or email freddie@tuilagirugby.com
Email address *
Select Your Course
Your Details
Address *
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Town / City *
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Postcode *
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Mobile Number *
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Home Number
Your answer
Child/Players Details
Child's first name *
Your answer
Child's last name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Has your child previously played contact rugby? *
School or Rugby Club - e.g Boston RFC *
Your answer
Medical Information
Please detail if your child has any dietary requirements, illnesses or injuries that we should be aware of e.g. diabetes, asthmas, 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 / Medication / Additional Information
please provide full details below
Your answer
Booking Terms and 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.
If you have to cancel your booking you must inform us in writing immediately. Unless written confirmation is received a booking will stand. All cancellations will be acknowledged by us and are subject to the following charges:

56-29 days before course date: 30% charge
28-15 days before course date: 45% charge
14-1 days before course date: 60% charge
On, or after commencement: 100% charge

In certain instances it may be necessary to cancel the rugby course arrangements. You will then be given an option to either transfer to another rugby course or receive a full refund.

The 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 Tuilagi Rugby Skills only.

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 & 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)
Payment Details
To pay please make a bank payment direct to Tuilagi Rugby Skills:
Tuilagi Rugby Skills
Lloyds Bank
Account No: 47370768
Sort Code: 30-94-97
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