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? (Required.)

Mayfield

Bishoptown

St Val's

Clonakilty

Fermoy

Banteer

Midleton

Grenagh

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2. Camp Start Date? (Required.)

Date

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3. Child(rens) name? (Required.)

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4. Date of Birth (DOB?) (Required.)

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5. Age? (Required.)

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

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7. Primary School 2017? (Required.)

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

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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)

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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

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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? (Required.)

Yes

If so please specify

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

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/) (Required.)

I agree

Other (please specify)

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* 1. Camp Venue? (Required.)

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* 2. Camp Start Date? (Required.)

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* 3. Child(rens) name? (Required.)

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* 4. Date of Birth (DOB?) (Required.)

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* 5. Age? (Required.)

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

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* 7. Primary School 2017? (Required.)

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

Question Title

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

Question Title

* 10. Parent/Guardian Consent Form & Declaration (Required.)

Question Title

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

Question Title

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

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/) (Required.)

1. Camp Venue? (Required.)

2. Camp Start Date? (Required.)

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.)

10. Parent/Guardian Consent Form & Declaration (Required.)

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

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

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.)