EASTER HOCKEY CAMP BOOKING FORM Thursday 10th April and ...
EASTER HOCKEY CAMP BOOKING FORM Thursday 10th April and Friday 11th April 2014; 10:00-16:00 Ages 6-16; £21 per day or £38 for both days; held at Marjon 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 plenty fluid for the day or attendees will have an opportunity to buy lunch/snack at the Grandstand Café. To book your daughter/son a place, please fill out the form below and send with your payment to: Sporting Dynamics Marjon Sport Centre Derriford Road PL68BH.
Book BEFORE Monday 7th April 2014 For further information email: [email protected] or call Heather on 07909112355
-------------------------------------------REPLY SLIP------------------------------------------------------Tick which day(s) you would like to attend: Thursday 10th April Friday 11th April Name: …………………………… DOB: ……/……/……… Email:………………………………………………………………… Address:…………………………………………..………………………………… Postcode:…………….…………… Club……………………………………
School……………………………… PLAYER GOAL KEEPER
Emergency Contact Number (in case of an emergency) Name:…………………………………..… Contact Number:…………………………..………………………… Relationship to child ……………………………….. Any Medical Conditions……………………………………… Consent I agree to my child taking part in SD activities and confirm that my child does not suffer from any medical conditions other then those listed, I agree to photographs being taken to be used in local papers or by SD for camp promotions only. I authorize the leader of the coaching camp, or any other adult coach who may be present, to provide basic medical or dental treatment (parents will be contacted if an accident occurs
Parent/Guardian Signature……………………………… Date: ……./….…/……….…
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 plenty fluid for the day or attendees will have an opportunity to buy lunch/snack at the Grandstand Café. To book your daughter/son a place, please fill out the form below and send with your payment to: Sporting Dynamics Marjon Sport Centre Derriford Road PL68BH.
Book BEFORE Monday 7th April 2014 For further information email: [email protected] or call Heather on 07909112355
-------------------------------------------REPLY SLIP------------------------------------------------------Tick which day(s) you would like to attend: Thursday 10th April Friday 11th April Name: …………………………… DOB: ……/……/……… Email:………………………………………………………………… Address:…………………………………………..………………………………… Postcode:…………….…………… Club……………………………………
School……………………………… PLAYER GOAL KEEPER
Emergency Contact Number (in case of an emergency) Name:…………………………………..… Contact Number:…………………………..………………………… Relationship to child ……………………………….. Any Medical Conditions……………………………………… Consent I agree to my child taking part in SD activities and confirm that my child does not suffer from any medical conditions other then those listed, I agree to photographs being taken to be used in local papers or by SD for camp promotions only. I authorize the leader of the coaching camp, or any other adult coach who may be present, to provide basic medical or dental treatment (parents will be contacted if an accident occurs
Parent/Guardian Signature……………………………… Date: ……./….…/……….…
