for our One Week Session:
July 17-21, 2017
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Primary Phone Number
School Attended Last
In Case of Emergency Phone Number
Grade Completed Last
5th or Younger
Any Medical Conditions we should be aware of?
Please select one. Credit Card users will need to click the button below and enter information separately.
Albeit a non-contact camp, I (guardian) have educated myself on concussion awareness, through materials provided (button at top of page), and know warning signs and symptoms.
By clicking the "Submit" button below, I agree that all information provided is true. I agree to all terms of this form.
Any questions or concerns may be directed to us through our "Contact" link above.
Please See Below
I have read and Understand the Anti-Discrimination/Harassment Policy
I have educated myslef on concussion awareness
Any visual reference to my athlete may be used for marketing purposes by Cardinal Rugby Camp LLC
Cardinal Rugby Camp LLC. is a fully insured entity through Philadelphia Insurance companies.
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