East Stroudsburg Player Development Camp

Please fill out and submit the form below. Once the form is received, you will then be sent a registration packet by E-mail. Please make sure you enter a valid e-mail address. This packet needs to be completed and returned when you check into camp.  

Tell us how to get in touch with you:

Name:
Address:
City, State, Zip:
Telephone:  
E-mail:
Current Club:
Years experience:
Position:
Age:
D.O. B.:
Sex:     M or F
Jersey size:

Camper Type:

(Overnight or Day)

Roommate Request:

Type of payment:

(Pay Pal or Check)

 

           How did you hear about our camp? Please be specific.  

           Also place any additional questions or comments here:

          

 

If you are not paying thru Pay Pal make check payable to Rugby Camp. Mail to the following address:

 

Rugby Camp 

c/o Kevin Castner

7 Papillion Ct.

East Stroudsburg, PA 18301

 


Kevin Castner-Camp Director
Copyright 2005 Rugby Player Development Camp LLC. All rights reserved.
Revised: 05/29/09.