£65 per person

KRCICUAGKMBINYPG for ages 6 to Adult

with lead coach Rick Spencer (former Sale Sharks coach)

Stockport Rugby Club, Headlands Road, Stockport, SK7 3AN 28 May 2014 - 9.30am to 3.30pm

Benefit from top class rugby kicking coaching with Level 3 RFU qualified coaches who are fully CRB checked and trained in First Aid. Attendee's will recieve:

Rugby camp T-shirt, BLK rugby ball, certificate, rugby kicking tee and Professional player visit with Q&A session and autographs

?65 per person

Book online at startingxv.co.uk or call Rick on 07944 829 503

KICKING Camp Booking Form

Forename: T-shirt sizes:

9-11

Surname:

12-13

Medium

Large

XL

2XL

Attendee Date of Birth DD/MM/YY:

Parent or Guardian details if under 18

Parent forename:

Parent surname:

Address Line 1:

Address Line 2:

Town / City:Postcode:

Email:

Emergency contact details

First contact name:

First contact phone: Second contact name: Second contact phone: Any relevant medical or educational requirements:

We may use photography and filming of our rugby camps for promotional purposes. If you do not wish this child to be included in this photography, please tick the box.

BOOK ONLINE AT WWW.STARTINGXV.CO.UK

Or as follows: Post your completed form(s) and cheque (?65 per person) made payable to Starting XV Limited to: Richard Spencer, Starting XV Rugby Camps, Barnby House, How Lane, Castleton, S33 8WJ. Alternatively you can contact Richard on 07944 829503 for bank transfer details. Once payment has been received you will receive email confirmation of your booking.

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