Easter 2017 Netball Camp Girdwood Centre Booking Form

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Easter 2017 Netball Camp Girdwood Centre 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

OR

N/A

Easter Camp Belfast Venue:

Girdwood Community Hub

Date:

Wed 19 th & Thurs 20th April 2017

Time:

10am —3pm each day

Cost:

£12 ** per child

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 ** Trial price for first camp

If you have any queries please contact [email protected] Notes—Please ensure that all participants bring along a pack lunch for the day, along with enough water/drinks/snacks 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 tick YES NO

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