MEDICAL HISTORY Does your child have any allergies/medical conditions? Yes No
If “Yes” please detail: _________________________ ____________________________________________
PAYMENT DETAILS Pay by Cheque/Postal Order or by Credit Card over the phone or detail below. Please make all cheques/postal orders out to BASKETBALL IRELAND.
____________________________________________ ____________________________________________ Does your child have any special needs (including dietary) we should be aware of? Yes
No
I enclose €________ cheque/postal order or Visa/Mastercard/Laser number _______/_______/_______/_______ Expiry Date: _________________________________
If “Yes” please detail: _________________________ ____________________________________________ ____________________________________________
Card Holders Signature: ____________________________________________
____________________________________________ *** Please view Basketball Ireland’s Camp Terms & Conditions and FAQ’s in the download section of the Basketball Ireland website www.basketballireland.ie*** Parental/Guardian signature must be sent in agreement with Terms & Conditions stated.
Ireland’s Longest Running Basketball Camp… Tradition, Reputation & Enjoyment Since 1973
Please complete entire application and forward along with payment details to: Gormanston Camp, Basketball Ireland, The National Basketball Arena, Tymon Park, Tallaght, Dublin 24.
Prices: Residential Camper Day Camper Deposit Required
€375 €250 €100
1st 50 Campers to book, including booking deposit and signed Terms and Conditions of Camp will receive a free GM Molten Basketball
Week 1 – 6th - 11th July Week 2 – 13th - 18th July www.basketballireland.ie Tel: (01) 4590211
[email protected] CAMP SCHEDULE Registration: Sunday July 6th or 13th, 12.00pm to 2.30pm
Name: ______________________________________
Campers will receive dinner on Sunday evening. Friday July 11th or 18th - Camp finishes at 9am. Campers will receive breakfast on Friday morning.
School/Club: ________________________________
WHY SHOULD I ATTEND? • Opportunity to be coached by some of the best coaches from Ireland, Europe and the USA • Make long-lasting friendships • Improve your skills and take your game to the next level • Meet your idols from the Men’s & Women’s Premier League & current International players • Have FUN!!!
WHAT WILL I GET FOR COMING TO CAMP? • • • • • •
Superb week long Basketball Ireland camp Individually numbered reversible bib Camp T-shirt Camp Bag Improvement & Evaluation Camp Form Individual shooting technique analysis
A Camp Disco is held on the final night after the Awards Ceremony. The Camp Awards Ceremony will include Junior & Senior All-Star teams, Competition winners & the famous Mr. & Miss Gormanston Award! *Check out last years winners on the Gormanston Camp Facebook page www.facebook.com
HOW TO BOOK YOUR PLACE Please complete Application Form attached or visit www.basketballireland.ie to download your copy.
CAMP INFORMATION Gormanston is located 40km north of Dublin, just off the M1 motorway. Meals are provided in the cafeteria three times a day. College security, BI & Camp staff are on duty 24/7. Please note there is no outlet to purchase phone credit (no payphones available on campus)
APPLICATION DETAILS
Surname: ___________________________________
Date of Birth: ________________________________ Gender:______________
Age: ______________
Parent/Guardian Email:________________________ ____________________________________________ Address: ____________________________________ ____________________________________________ Contact Tel No: ______________________________
GORMANSTON FACILITIES Swimming Pool available to campers, DVD Room, Tuck Shop, 4 full indoor courts
Attending Week 1 or 2?:_______________________ Emergency Contact Details Name: ______________________________________
Age: Open to players between 12-18 years of age.
Relationship: ________________________________
WHAT TO BRING
Contact Tel No: ______________________________
Campers are required to bring • Pumped basketball with name clearly marked. • Sleeping bag & pillow, • Change of outfit for each day,
Alternative Contact Tel No: ____________________
• • • • • •
Towel, Lots of socks!, Outfit for disco Swimming outfit Waterbottle Money for tuck shop Players can bring their own DVD’s.
PLEASE NOTE: All application forms must be accompanied with a signed Terms and Conditions Form. Applications received with deposits but without Terms and Conditions will not be registered for camp until such time as the Terms and Conditions are received.
SLEEPING ARRANGEMENTS
BOYS: Dormitory GIRLS: Dormitory
Single: Triple:
Request to room with or next to:__________________ Note: We will do our best to allocate rooms according to the preferences above. However, this cannot be guaranteed.
Tee Shirt & Bib Sizes Tee Shirt Size: Small Medium Large Ex. Large Reversible Bib: Small Medium Large Ex. Large