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Falcon Heights Parks and Recreation <br />~ Rugby League Prep -Ages 13-16 <br />This level of rugby is to introduce light contact, the skills, fundamentals, and rules <br />of sevens rugby. This will be done in a safe controlled environment to insure that <br />participants have fun and a healthy experience learning the game of rugby. <br />Participants will spend adequate time learning the basics and skills before starting <br />"controlled" scrimmages. Program content will prepare participants for future play <br />in high school, college and club levels. <br />Boys and Girls Ages 13-16 <br />Date: Thursdays and Saturdays, Aug. 21- Oct. 25 <br />(10 Weeks) <br />Time: 6:30pm-7:45pm -Thursdays <br />12:30pm-2:OOpm -Saturdays <br />Location: Community Park <br />Cost: $35 Resident $40 Non Resident <br />Instructor: Steve Worline has been playing Rugby since 1977. <br />He started played in Hawaii, Southeast Asia, Japan, Pennsylvania, <br />Kentucky, Ohio, and Georgia. He currently is a member of the <br />East-Side Banshee Rugby Club. <br />Complete and submit: <br />Mail to : City Hall, 2077 W. Larpenteur, Falcon Heights, MN 55113 <br />Catl or Fax: Phone: 651-792-7616 Fax: 651-792-7610 web: vvwvv..faiconneights.org <br />Waiver of Participant- In consideration of your accepting my child's entry, I hereby for myself, my child, <br />my heirs, executors, and administrators, waiver and release any and all rights and claims for damages I <br />or my child have against the above park department and its representatives, successors and assigns for <br />any an all injuries suffered by myself or my child and any activity sponsored by these groups. <br />Name:------------------------------------------- <br />Address:------------------------------------ <br />City & Zip Code:-------------------------------------- <br />Phone: _________________ Alternate Phone:_______________ _______ <br />Class: ------------------------------ Total: <br />• CC #------------------------ Exp:------ 3 Digit Code: ------- <br />VS MC AMEX DISC (4 Digit for AMEX) <br />Signature:------------------------------------------------ <br />