Holiday Camp Registration

Please complete for your child, including the Camps or days that you wish to book in the tick boxes.

First name (Child)

Last name (Child)

Date of birth

Camp Selection

Summer Camp 2 - 10.08.26 to 14.08.56 Full Week (Five Days) £180

Monday Aug 10th 2026 9.30am-3.30pm

Tuesday Aug 11th 2026 9.30am-3.30pm £40

Wednesday Aug 12th 2026 9.30am-3.30pm £40

Thursday Aug 13th 2026 9.30am-3.30pm £40

Friday Aug 14th 2026 9.30am-3.30pm £40

Age group (Sept 2025)

Address

Name (Parent)

Contact number

School attended

Rugby club (if attended)

Medical/allergy awareness - any key issues that we need to consider?

Photography - Are you happy for your child's image to be used in future promotional work on behalf on Black Rock Sports camps?

First aid - Do you agree to allow 1st Aid to be administered by BRS qualified staff