Halloween Netball Camp Booking Form Age 10—16 yrs

Halloween Netball Camp Booking Form Age 10—16 yrs Name

Date of Birth

Address

__ /__ /__

Postcode

Tel. No

Email

Emergency Contact name Emergency Contact number Please note any medical Issues/allergies /disabilities below

WHEN:-

Tuesday 1st November 2016

WHERE:-

Six Mile Leisure Centre, Newtownabbey

TIMES:-

10am—3pm

OR

N/A

If you have any queries about the camp please just contact your Everybody Active Netball Coach Lisa Bowman on email

Cost:- £15 per child [email protected]

Please make all cheques payable to : Netball Northern Ireland, or alternatively pay via bank transfer Bank: First Trust Bank Sort Code: 93 86 23 Acct No: 01369022 *Please remember to reference all payments with participants name

Notes—Please ensure that all participants bring along a pack lunch for the day, along with enough water/drinks to last them for being active all day and are dressed appropriately. Please ensure all participants are wearing appropriate clothing and footwear for a days Netball activity. I confirm my child has permission to participate in any official media including television, photography, print and social media please tick YES NO

Please return all forms and payments to the address below or email address shown below:[email protected] Netball NI, Unit F, Curlew Pavilion Portside Business Park 189 Airport Road West Belfast BT3 9ED