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:
Club:
Years Experience:
Position:
Age:
Date of Birth:
Sex: Male Female
Jersey Size:
Camper Type: Overnight Day
Type of Payment: Check PayPal
Roommate Request:

           Comments:

           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 2005-2009 Rugby Player Development Camp LLC. All rights reserved.
Revised: 05/29/09 .