27th & 28th August Booking Form
HOCKEY DYNAMICS
BOOKING FORM
BOOKING FORM EASTER | Hockey Camp | 2015
When 1st & 2nd April
10am - 4pm Where Astro Hockey Pitch Marjon University
Cost £21 for the day or £40 for both
Ages 7 - 14 years old
Hockey Dynamics have delivered successful hockey camps in the Plymouth area for over 4 years. We continue our holiday camp programme this Easter with another fun packed learning experience that you will not want to miss out on!! Important Information - All attendees will need to bring shin pads and gum shields are strongly advised. - Sticks can be provided, as can goalie kits. - All attendees can either bring a packed lunch with
BOOK EARLY! to avoid disappointment
[email protected]
plenty of fluid for the day or attendees will have an opportunity to buy lunch/snack at the Grandstand Café.
@hockey_dynamics
www.hockeydynamics.co.uk
HOCKEY DYNAMICS
BOOKING FORM
Tick which day(s)/camp you would like to attend: Easter Camp - Wed 1st Apr
Thur 2nd Apr
Name: ……………………………………………. DOB: …… /…… /......... Email: …………………………………………….. Lots of Gryphon Hockey Prizes to be WON!
Address: …………………………………………. …………………………………………………….. …………………………………………………….. Postcode: ………………………………………..
Each participant will also receive a FREE t-shirt upon their first attendance to a Hockey Dynamics camp!
Club: …………………………………………….. School: ………………………………………….
If your child has never been before and needs one ordering please state an estimated chest size below.
PLAYER
Emergency Contact Number (in case of an emergency)
……………………………………… If like many, you are a returning attendee please make sure you wear the HD camp tee on the day. ______________________________
Consent Statement I agree to my child taking part in HD activities and confirm that my child does not suffer from any medical conditions other than those listed. I agree to photographs being taken and potentially to be used in local papers or by HD for camp promotions only. I authorise the leader of the coaching camp, or any other adult coach who may be present, to provide basic medical or dental treatment if necessary (parents will be contacted if any accidents occur) [email protected]
GOAL KEEPER
Name: …………………………………………… Contact Number: ………………………………. Relationship to child: ………………………….. Any medical conditions ..................................... ……………………………………………………. By signing below you are agreeing to the HD consent statement
Parent/Guardian Signature …………………………………………………….. Date: ……. /……. /.......... Payment Enclosed £ ……………………. RETURN TO >>> 1 SALCOMBE ROAD, PLYMOUTH PL4 7NE @hockey_dynamics
www.hockeydynamics.co.uk
BOOKING FORM
BOOKING FORM EASTER | Hockey Camp | 2015
When 1st & 2nd April
10am - 4pm Where Astro Hockey Pitch Marjon University
Cost £21 for the day or £40 for both
Ages 7 - 14 years old
Hockey Dynamics have delivered successful hockey camps in the Plymouth area for over 4 years. We continue our holiday camp programme this Easter with another fun packed learning experience that you will not want to miss out on!! Important Information - All attendees will need to bring shin pads and gum shields are strongly advised. - Sticks can be provided, as can goalie kits. - All attendees can either bring a packed lunch with
BOOK EARLY! to avoid disappointment
[email protected]
plenty of fluid for the day or attendees will have an opportunity to buy lunch/snack at the Grandstand Café.
@hockey_dynamics
www.hockeydynamics.co.uk
HOCKEY DYNAMICS
BOOKING FORM
Tick which day(s)/camp you would like to attend: Easter Camp - Wed 1st Apr
Thur 2nd Apr
Name: ……………………………………………. DOB: …… /…… /......... Email: …………………………………………….. Lots of Gryphon Hockey Prizes to be WON!
Address: …………………………………………. …………………………………………………….. …………………………………………………….. Postcode: ………………………………………..
Each participant will also receive a FREE t-shirt upon their first attendance to a Hockey Dynamics camp!
Club: …………………………………………….. School: ………………………………………….
If your child has never been before and needs one ordering please state an estimated chest size below.
PLAYER
Emergency Contact Number (in case of an emergency)
……………………………………… If like many, you are a returning attendee please make sure you wear the HD camp tee on the day. ______________________________
Consent Statement I agree to my child taking part in HD activities and confirm that my child does not suffer from any medical conditions other than those listed. I agree to photographs being taken and potentially to be used in local papers or by HD for camp promotions only. I authorise the leader of the coaching camp, or any other adult coach who may be present, to provide basic medical or dental treatment if necessary (parents will be contacted if any accidents occur) [email protected]
GOAL KEEPER
Name: …………………………………………… Contact Number: ………………………………. Relationship to child: ………………………….. Any medical conditions ..................................... ……………………………………………………. By signing below you are agreeing to the HD consent statement
Parent/Guardian Signature …………………………………………………….. Date: ……. /……. /.......... Payment Enclosed £ ……………………. RETURN TO >>> 1 SALCOMBE ROAD, PLYMOUTH PL4 7NE @hockey_dynamics
www.hockeydynamics.co.uk
