Cork Ladies Football Dev Summer Camps 2017

APPLICATION FORM

Application form must be completed by an adult please...

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* 1. Camp Venue?

Mayfield

Bishoptown

St Val's

Clonakilty

Fermoy

Banteer

Midleton

Grenagh

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* 2. Camp Start Date?

Date

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* 3. Child(rens) name?

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* 4. Date of Birth (DOB?)

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* 5. Age?

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* 6. Club? (participating child has to be registered with club)

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* 7. Primary School 2017?

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* 8. Tel/Mobile Number (Parent/Guardian)

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* 9. Jersey Size (Please click relevant box and size)

7-8

9-10

11-12

13-14

Size 10

Size 12

Size 14

Size 16

Other (please specify)

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* 10. Parent/Guardian Consent Form & Declaration

I confirm that I am the parent/guardian of my daughter(s) and hereby consent and confirm that I have authority to consent that she may be conveyed (by ambulance, car or other means) to hospital or a doctor for the purpose of medical attention where such is deemed necessary by Cork LGFA Summer Development Camp Staff/Coaches

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* 11. Does your child/children have any medical condition, allergies or special needs that our coaches should be made aware of?

Yes

If so please specify

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* 12. Does she/they take any medication? If so, please specify:

Yes

If so please specify

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* 13. I agree to abide by the LGFA code of ethics

(for information on the Ladies Gaelic Football Code of Conduct please refer to ladiesgaelic.ie/club/code-of-ethics/our-games-our-code/)

I agree

Other (please specify)

Question Title

* 1. Camp Venue?

Question Title

* 2. Camp Start Date?

Question Title

* 3. Child(rens) name?

Question Title

* 4. Date of Birth (DOB?)

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* 5. Age?

Question Title

* 6. Club? (participating child has to be registered with club)

Question Title

* 7. Primary School 2017?

Question Title

* 8. Tel/Mobile Number (Parent/Guardian)

Question Title

* 9. Jersey Size (Please click relevant box and size)

Question Title

* 10. Parent/Guardian Consent Form & Declaration

Question Title

* 11. Does your child/children have any medical condition, allergies or special needs that our coaches should be made aware of?

Question Title

* 12. Does she/they take any medication? If so, please specify:

Question Title

* 13. I agree to abide by the LGFA code of ethics(for information on the Ladies Gaelic Football Code of Conduct please refer to ladiesgaelic.ie/club/code-of-ethics/our-games-our-code/)

* 13. I agree to abide by the LGFA code of ethics

(for information on the Ladies Gaelic Football Code of Conduct please refer to ladiesgaelic.ie/club/code-of-ethics/our-games-our-code/)