TACKLE Rugby Summer 2022
Details for TACKLE Rugby Camp - Summer 2022 as hosted by Stirling County RFC

Please complete a separate form for each child attending.

Any questions  can be directed to: Tacklerugby@outlook.com

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Email *
Players Name *
Players Date of Birth *
Please enter as: DD/MM/YYYY (I.e. 25/10/2000)
Age Group *
Week commencing July 11th - Days / Dates Attending *
Please select All for attending all 5 days or for less that the full five, please select each individual day / date.  Each day is a cost of £25 per day or £110 for all 5 days.  If not attending in this week, please select None.
Required
Week commencing July 25th - Days / Dates Attending *
Please select All for attending all 5 days or for less that the full five, please select each individual day / date.  Each day is a cost of £25 per day or £110 for all 5 days.  If not attending in this week, please select None.
Required
Week commencing August 8th - Days / Dates Attending *
Please select All for attending all 5 days or for less that the full five, please select each individual day / date.  Each day is a cost of £25 per day or £110 for all 5 days.  If not attending in this week, please select None.
Required
Address (line 1) *
Address (line 2)
City *
Postcode *
Contact Telephone Number (mobile preferred) *
Contact Email Address *
Emergency Contact 1 - Name *
Emergency Contact 1 - Telephone *
Emergency Contact 2 - Name *
Emergency Contact 2 - Telephone *
Previous Rugby Experience *
Number of seasons played.
T-Shirt Size *
Small Junior / Medium Junior / Large Junior / Small Adult / Medium Adult / Large Adult
I consent to SCRFC using photographs and/or video recordings including images of my child both internally and externally to promote the club.  These images could be used in print and digital media formats including print publications, websites, e-marketing, posters banners, advertising, film & social media.  I understand that images on websites can be viewed throughout the world and not just in the United Kingdom and that some overseas countries may not provide the same level of protection to the rights of individuals as EU/UK legislation provides.  I understand that some images or recordings may be kept permanently once they are published and be kept within the clubs archives. *
Currently Taking Any Medication *
(Add details in Medical Section)
Medical Conditions / Injury History / Player Welfare Issues *
This includes any know allergies, physical or mental conditions.  Player welfare issues cover anything that may be relevant as we care for your child over an extended period of time whilst they are interacting as part of a large group.  This information is confidential to the coaching group.  Please mark as N/A if no Medical Conditions or history of major injury is present.  
As with all sport there is an risk of injury in participation.  For this we must ask that consent is given for basic first aid to be administered and emergency treatment if required.  Please note that we will not be able to accept the players attendance at the camp without this consent. *
Required
Special Category Personal Data is a separate category of Personal Data which requires your express consent for processing.  In this context it relates to medical information of players, which may be relevant to player protection.  Player medical information will be shared with coaches and officials where necessary to protect player welfare, including, where necessary, Scottish Rugby by way of injury reporting.
In order to indicate your consent to the processing of special category personal data as set out in the above, please check this box.  Please note that we will not be able to accept the players attendance at the camp without this consent. *
Required
The registered email address by which this form is completed will be used as proof of identity of the parent / guardian completing this form.  For the clubs privacy policy, including how your information will be handled, please visit: http://www.stirlingcounty-rfc.co.uk/privacy-policy/  By completing this form you agree to this policy.  
Payment must be made at the time of booking in order for the booking to be confirmed.  Payment to be made via Bank Transfer.  Payments must be accompanied by an email to: tacklerugby@outlook.com and a confirmation will be given in reply within 10 days.
Bank Transfer to:
Bank of Scotland: Sort Code: 809129, Account Number: 01575621, Account Name: Stirling County RFC ltd
With reference: TACKLEForenameSurname with online registration (i.e. TACKLEStirlingCounty)
Please note. for SCRFC members, this is a different account to normal membership.  

A copy of your responses will be emailed to the address you provided.
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