Easter Hockey Camp 2017

 

EASTER HOCKEY CAMP 2017

REGISTRATION FORM


                 P5 – P7 ---- 10am-12pm            Wednesday 12th & Thursday 13th April

                 Y8 – Y10 --------1pm-3pm                         £20 including a t-shirt!

Childs Name D.O.B and Gender
Parent/Guardian Name Mobile phone no
Address

Postcode

T-shirt size

Please circle

Age 7/8,   9/11,     12/14

Ladies (fitted) 8/10 , 12/14, 16/18

Unisex (not fitted) S,

M, L

Please circle age group

P5       P6       P7      

Y8     Y9       Y10

PLEASE DETAIL ANY MEDICAL CONDITIONS/MEDICATION
DO YOU AGREE TO BASIC FIRST AID BEING ADMINISTERED FOR YOUR CHILD? (YES/NO)
DO YOU AGREE TO YOUR CHILD BEING PHOTOGRAPHED FOR CLUB PUBLICITY (YES/NO)

Parent/Guardian signature Date

Cheques made payable to “Ballymena Hockey Club”

Please send completed form and payment to:          BY FRIDAY 31st MARCH

Mrs Joanne Davis  

26 Gleneages

Cloughmills

BT44 9PQ

 


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