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Cork Ladies Football Dev Summer Camps 2017
APPLICATION FORM
Application form must be completed by an adult please...
*
1.
Camp Venue?
(Required.)
Mayfield
Bishoptown
St Val's
Clonakilty
Fermoy
Banteer
Midleton
Grenagh
*
2.
Camp Start Date?
(Required.)
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
*
3.
Child(rens) name?
(Required.)
*
4.
Date of Birth (DOB?)
(Required.)
*
5.
Age?
(Required.)
*
6.
Club? (participating child has to be registered with club)
(Required.)
*
7.
Primary School 2017?
(Required.)
*
8.
Tel/Mobile Number (Parent/Guardian)
(Required.)
*
9.
Jersey Size (Please click relevant box and size)
(Required.)
7-8
9-10
11-12
13-14
Size 10
Size 12
Size 14
Size 16
Other (please specify)
*
10.
Parent/Guardian Consent Form & Declaration
(Required.)
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
*
11.
Does your child/children have any medical condition, allergies or special needs that our coaches should be made aware of?
(Required.)
Yes
No
If so please specify
*
12.
Does she/they take any medication? If so, please specify:
(Required.)
Yes
No
If so please specify
*
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/)
(Required.)
I agree
Other (please specify)
