New Year Netball Camp Booking Form Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date of Birth
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Postcode . . . . . . . . . . . . . . .
Tel. No . . . . . . . . . . . . . . . . . . . . . . . . . . ..
__ /__ /__
Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
Emergency Contact name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency Contact number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Please note any medical Issues/allergies /disabilities below
WHEN:-
Wednesday 3rd January 2018
WHERE:-
Girdwood Community Hub Belfast
TIMES:-
10am—3.00 pm
COST:-
£18 per child
AGE:-
7—14 yrs
OR
N/A
If you have any queries about the camp please just contact your Everybody Active Netball Coach Amy Stewart on email
[email protected] OR Lisa Rickett on email noted below
Please make all cheques payable to : Northern Ireland Netball or alternatively pay via bank transfer Bank: First Trust Bank Sort Code: 93 82 03 Acct No: 11538002 *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. I confirm my child has permission to participate in any official media including television, photography, print and social media please circle 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