Rugby Course Booking Form

Rugby Course Booking Form



Rugby Level

The players will be assessed at the start of the week and will be put into groups according to ability, age and social requirements.

Medical Information



Simply Outdoors and Trips

Your child has the option to take part in high ropes at the on-site outdoor adventure centre, Simply Outdoors. High ropes is an activity with a danger of personal injury or death. Participants in this activity should be aware of and accept these risks and be responsible for their own actions.


Mount Kelly or Simply Outdoors will not share any information or data collected with any third parties. In my opinion, my child is fit and able to take part in the Rugby Course activities. I give my consent to using over the counter products if required such as paracetamol, Strepsils, antihistamine or cough linctus, administered by the Rugby Course Matron or First Aiders. I understand in an emergency every effort will be made to obtain consent for treatment, operation or anaesthetic, but if this proves impossible, I authorise the Head Coach, Rugby Course Matron or Simply Outdoors staff to act in loco-parentis. A copy of the Mount Kelly and Simply Outdoors current Certificate of Public Liability Insurance can be provided upon request. Either company cannot accept liability arising from circumstances undisclosed in this Consent Form.

Digital Signature

Please type in your name in the field above

Musical Theatre Day Course Booking Form

Musical Theatre Day Course - Booking Form