Summer 2016 Netball Camp Booking Form

Summer 2016 Netball Camp Booking Form

Name

Date of Birth

Address Tel. No

__ /__ /____ Postcode

Email

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

OR

N/A

Camp 1 :Lisburn Camp—Lisburn Racquets Club ( 7-14 yrs old) £ 30 Camp 2 :Bangor Camp - Aurora Leisure Centre (7-14yrs old)

£ 30

Camp 3: Carryduff Camp 1 –Lough Moss L.C (7-10 yrs old)

£ 10*

Camp 4 : Carryduff Camp 2—Lough Moss L.C (11-15yrs old)

£ 10*

Total Amount Paid £_______

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.

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