PSi Carlow Colts - Intro to Indoor Hockey
Camp Registration

Venue: St. Leo's College, Carlow
Cost: €40 per person
Dates: February 21st & 22nd (Thursday & Friday)
Times: Primary School 1st - 4th class 10.00 - 12:30 /// 5th class - 3rd year 12.30 - 15.00

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Email Address *
Very important. Please ENSURE that it is correct. All correspondence will go to this email.
Secondary Contact Email Address *
If primary email does not work for some reason...
Player Particulars
Player's First Name *
Player's Surname *
Date of Birth *
NOT 2019! Ensure correct year. Please. Day/Month/Year
MM
/
DD
/
YYYY
Age group *
School *
1. Parent (or Guardian) Full Name *
2. Parent (or Guardian) Full Name
Parent (Guardian) Mobile Number *
Alternate contact number *
Other parent mobile preferably
Preferred Playing Position *
Young Indoor players will be required to play in all positions. This is merely an indication of preferred playing position. Goalkeepers need to bring their own kits. Please click ONE of the options below only.
Required
Last School Team represented *
Player Gender *
Participant Waiver
14.1 I hereby authorize The Company or its representatives to obtain emergency medical treatment on behalf of my child in the event that, in the opinion of  The Company or its representatives, my daughter/son is in need of such treatment. I further agree that I will be responsible for the payment of any and all medical treatment, associated transportation costs or medicines of any nature which may arise in connection with any sickness or accident which may occur during the Event/League and/or Clinic , whether such expense is incurred during or subsequent to the Event/League and/or Clinic , and will indemnify and hold harmless the Event/Camp and/or Clinic and further release the Event/League and/or Clinic , or its representatives for any damages sustained by me in connection with providing of medical treatment.
I acknowledge and understand that The Company's Events/Camps and/or Clinics are privately run sports events and have no affiliation or partnerships with the venues and/or facilities at which they are operated. I agree to hold the Event / League and/or Clinic location, venue and/or host, its facilities, management and employees as well as The Company and its business partners, officers, agents, employees, coaches, chaperones and officials harmless from and against any and all claims for injury, costs, liability, damages or loss to person or property which may be sustained or occur while at Events / Leagues and/or Clinics, whether or not they are due to negligence and in consideration I give my consent for my child named on the application to participate in all sport activities at the Event / League and/or Clinic. Also, any damaged caused by my daughter/son to camp or facility property will be her/his responsibility to remedy or reimburse.
I hereby acknowledge that there is a risk of injury involved in sports participation. My daughter/son is physically fit and able to participate in strenuous activities and attend this Event / League  and/or Clinic.

*
I, as parent or guardian of the registered player agree to the terms and conditions above and will view all terms and conditions on the PSi Ireland website.
NB Camp Information
Venue: St. Leo's College Carlow
Dates: 21st & 22nd February (Thursday & Friday)
Time: 10.00 - 12:30 (1st Class - 4th Class Girls)
Time: 12:30 - 15:00 (5th Class - 3rd Year Girls)
Payment Method
Cost for 2 - Day Camp
€40 per person

Bank Details:

Name: PSi Carlow Colts
IBAN: IE96AIBK93319855287389
BIC: AIBKIE2D

Please put players name as reference if making a EFT payment.

A PayPal Invoice will also be sent to the email address you provide, this will allow you pay by card.
First Time Playing PSi *
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