Summer 2017 Netball Camp Booking Form

Summer 2017 Netball Camp Booking Form

PLEASE COMPLETE ALL SECTIONS OF THIS FORM Name

Date of Birth

Address

__ /__ /____ Postcode

Tel. No

Email

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

OR

N/A

Camp 1 :Bangor Camp—Aurora Leisure Complex ( 7-14 yrs old)

£30

Camp 2 :Belfast Camp - Girdwood Community Hub (7-14yrs old)

£30

Camp 3: Lisburn Camp –Lisburn Racquets Club (7-14yrs old)

£30

Total Amount Paid

Camp 4 : Derry Camp —Foyle Arena (7-14yrs old)

£30

£_______

Camp 5 : Antrim Camp — Antrim Forum L.C (7-14yrs old)

£15

Camp 6 : Newtownabbey—Valley L.C (7-14yrs old)

£15

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. All participants must have completed a registration form , and will be dropped to the sports hall and collected from the sports hall at the end of each day 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 shown:- [email protected] Netball NI, Unit F, Curlew Pavilion Portside Business Park 189 Airport Road West Belfast BT3 9ED