School's Out - Half Term Hockey Camps - November 2018

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School's Out - Half Term Hockey Camps - November 2018 - Sign Up!

This is the sign up form for the 2 Day Half Term Hockey Camp at Leeds Hockey Club

Dates:
Thursday 1st November - Friday 2nd November 2018

Cost:
£30.00/day/per child

Venue:
Weetwood, LS16 5AU

Time:
09:00am-17:00pm

Ages:
7-16 Boys and Girls

*Please bring own packed lunch

All standards of Players and GK’s welcome
For more information contact
Carl Smith
c.a.smith@leeds.ac.uk
07929 172698

Please complete a form for each child you are registering.

No payment is taken during this registration process - A follow up email will be sent detailing ways to make payment and providing more detail about the event.

Childs Name *

Gender *

Male

Female

Required

Childs Date of Birth *

YYYY

Age *

Playing Position *

Outfield Player

Goal Keeper

I would like to attend... *

Thursday 1st November ONLY (£30.00)

Friday 2nd November ONLY (£30.00)

BOTH DAYS (£60.00)

Required

Next of Kin (Name) *

Relationship to Child *

Parents Contact email *

Emergency Contact Number *

Any relevant medical information

Please include - Allergy to any drugs, regular medication, long term illness or anything other which you feel is relevant. If your child requires regular medication or medication on the day, please hand to the leader in charge on the day.

I give permission for my child to receive medical treatment (if required) from the trained first aid coaches and staff on site at Weetwood *

Please write you name if you approve - This will act as a digital signature. If you do not approve please type "NO"

I understand that I am required to provide a suitable packed lunch for my child on each day of participation *

Yes

I give permission for my child to be photographed/filmed throughout the camp by the camp leader (For advertising purposes only) *

Traditionally we have taken a photo of everyone together at the start of a camp and photographed and filmed some players performing certain tricks and drills throughout the days - It is our aim that we can provide players with a photo of them on their day at camp.

Yes

No - Please do not photograph my child

I give permission to keep my email address and to be contacted post camp for the purposes of updates and notifications of future hockey camps *

Yes

Payment Options *

Two payment options are available.

Internet Banking - You will be prompted by email to make payment via bank transfer before the camp. You do not pay now as part of this form.

I would like to pay by CASH on the day

Required

Submit

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