TACKLE Rugby 2021 (PM)
Details for TACKLE Rugby Camp 2021 for those children attending the afternoon sessions for U15 - U18 Girls and U15 - U18 Boys as hosted by Stirling County RFC

Please complete a separate form for each child attending.

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

All COVID regulations that apply at the time of the camp will be met and further information on this will be released closer to the time of the camp. If at any stage COVID forces a shutdown of the camp all monies paid are refundable in this instance. If a player or household are asked to isolate due to being a contact,or being positive and cannot then attend we will also be able to issue a refund.
Players Name *
Players Date of Birth *
Please enter as: DD/MM/YYYY (I.e. 25/10/2000)
Age Group *
Days / Dates Attending
Please select All for attending all 6 days or for less that the full six, please select each individual day / date. Each day is a cost of £20 per day or £110 for all 6 days.
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.
COVID-19: I understand that if my child has symptoms of COVID (high temp, continuous cough, shortness of breath, loss of sense or taste) or has had symptoms within the last 10 days or has been in contact with someone in the last 10 days with confirmed or suspected COVID then we will not bring them to training and will ensure that they are tested as per the latest Scot Gov Guidelines. It is the policy of SCRFC that close contacts of a contact also cannot attend (i.e. if a person within the house is isolating we would deem all those in that household to be a close contact). I also agree to immediately report to the camp staff via phone or email if they have a positive COVID test so we can inform the Test & Protect team. *
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.
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
With reference: TACKLESurname with online registration (i.e. TACKLEStirling)
Please note. for SCRFC members, this is a different account to normal membership.
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