Nwcu u11 Easter Camps 2020

Online Registration

Nwcu u11 Easter Camps
Parent / Guardian Details
Your Details *

First Name Last Name
Address *

Address

Address Line 2

Town/City

Post Code
Telephone *
Emergency Contact Number *
Email *
example@example.com
Child's/Children's Details
Name *
DOB *

Day Month Year
Date
Which Camp(s) will be attended?

U11 Camp - Tuesday 14th April: 09:30am-12:30pm @Roe Valley Leisure Centre, Limavady U11 Camp - Friday 17th April: 09:30am-12:30pm @Strabane Academy
2ndChild Attending: Name
DOB

Day Month Year
Date
Which Camp(s) will be attended?

U11 Camp - Tuesday 14th April: 09:30am-12:30pm @Roe Valley Leisure Centre, Limavady U11 Camp - Friday 17th April: 09:30am-12:30pm @Strabane Academy
3rd Child Attending: Name
DOB

Day Month Year
Date
Which Camp(s) will be attended?

U11 Camp - Tuesday 14th April: 09:30am-12:30pm @Roe Valley Leisure Centre, Limavady U11 Camp - Friday 17th April: 09:30am-12:30pm @Strabane Academy
Any specific conditions or allergies requiring medical treatment, medication or special attention (for any of the children above) *

Yes No
If yes; please provide details for each child
Consent

I agree to have my child photographed and videoed for publicity purposes in line with the Unions safe guarding, photography and videoing policy. I give permission for the coaches present to give the immediate necessary first aid & and take appropriate steps to ensure minimum delay if a medical emergency arises. I give my permission for the North West Cricket Union to hold my contact details for the duration of this program.
Form Completed by *
Date *

Day Month Year
Please note for insurance purposes payment must be received online with registration or cash on the day. Please note, paying online is the cheaper option.
Payment *

Pay Two Days Online (See below £15) Pay One Day Online (7.50) Pay Two Days, Cash (£20) Pay One Day, Cash (£10)
Payment Online
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Two Days £ 15.00 GBP

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One Day £ 7.50 GBP

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Total £ 0.00 GBP
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Online Registration

Parent / Guardian Details

Child's/Children's Details