Brochure (8 1/2 x 11, landscape, 2-fold)

Emergency Contact
Camper Information
Parents _________________
Name ______________________
Home Phone ________________
Address___________________________
Work Phone ________________
_________________________________
Cell Phone _________________
Email_____________________
School____________
Roommate Request:
In case of EMERGENCY
_________________________________
Contact _________________
Relationship
Address _________________
Players Position _____________
T-Shirt Size _______
Age:_______
Phone Numbers (Home & Cell)
_______________________________
DOB: _________
Health Insurance Carrier:
Height ______
________________________
Weight ______
Policy#: ____________________
Phone: _____________________
I have carefully read the enclosed information
For further information:
and agree to the conditions stated herein.
GETLCFIT@Yahoo.com
_____________________
(610) 780 - 0735
(Itinerary will be sent via e-mail)
Kutztown
Elite 7’s
Rugby Camp
(14-19 yrs old)
June 25-28
Check-in: June 25 at 1:00pm SHARP!
Check-out: June 28 at 1:00pm SHARP!
CAMP FEES
_
$375.00
Overnight Camper includes four days of
instruction, housing, breakfast, lunch
and dinner.
_
$300.00
Overnight TEAM rate (min 7 players)
includes four days of instruction,
housing, breakfast, lunch, dinner.
_
$275.00
Commuter rate includes four days of
instruction, breakfast, lunch and dinner
EARLY BIRD SPECIAL BY JUNE 1 - 10%
OFF INDIVIDUAL CAMPER
Payment information:
Make checks payable to Larry Chester
and mail to 14996 Kutztown Road,
Kutztown, PA 19530
A
ABOUT THE CAMP
Kutztown University is a rural
325 acre campus centrally
located between Allentown
and Reading in Pennsylvania.
The air conditioned dorms,
dining hall and fields are
located within 250-yard
radius.
Indoor and outdoor facilities
Air Conditioned Dormitory
Indoor Swimming Pool
T-shirts and Awards
Cafeteria Style Meals
Strength and Conditioning
All players will be video
taped and photographed
Instructional Film Sessions
7’s Games!!!!
Dr. Gregg Jones
Head Coach at Kutztown University
29 years, over 600 wins at KU
Head Coach Eastern PA Select Side
Head Coach Mid-Atlantic Collegiate Select
Head Coach Eastern USA Collegiate Select
19 USA Collegiate All-Americans
6 USA Junior Eagle U-20 World Cup Team
Members
1 USA Eagle 7’s Team Member
1 USA Eagle 15’s Team Member
Larry Chester
Assist. Coach at Kutztown University
(Defensive Coordinator)
1 9 years Coaching Experience: Rugby,
Football and Track/Field
Head Strength / Conditioning Coach 19years
OTHER COACHES…..
PAST AND PRESENT MEMBERS
OF KUTZTOWN UNIVERSITY
MEN’S RUGBY