Registration form

Summer Activity Camp 2024

Player full name

Birthday

Age

Would you like to add another player?

Yes

No

Dates attending

If multiple days, add below additional days

Emergency Contact No.

Name & Relationship to player

Email

Are there any medical conditions we need to be aware of ?

No

If yes, provide details

Are there any disabilities we need to be aware of

No

If yes, please provide details

PERMISSIONS

Tick the options you wish to grant permission.

Give paracetamol

Call emergency services if necessary

Join our mailing list for future events and communication

administer first aid

post image on our social media pages

Signature

Print name