Registration

Parent Name(s):
Camper Name:
Street Address:
City:
State:
Zip:
Camper Email:
Camper Cell Phone:
Camper Home Team:
Parent Email:
Parent Cell phone:
Insurance Company:
Insurance Policy Number:
Emergency Contact Name and Number:
T-Shirt Size:
YOU MUST COMPLETE THE WAIVER PRIOR TO REGISTRATION

Payment

If you would like to pay by check, please send the information requested above and your check

(payable to Furman Rugby) to:

John Roberts
Marketing and Public Relations
Furman University
3300 Poinsett Hwy.
Greenville, SC 29613

If more than a handful of players from a team wish to enroll, please contact Coach Roberts at 864.294.2187. He can give you a team rate!