Summer Sports Camp Registration
Child's Full Name
*
First Name
Last Name
Date of Birth
*
Please select a day
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Day
Please select a month
January
February
March
April
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July
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September
October
November
December
Month
Please select a year
2020
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2015
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2012
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Please confirm your Child's Age
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Mobile Number
*
-
Area Code
Phone Number
Secondary Contact Number
*
-
Area Code
Phone Number
Medical Information
Medical Conditions
Asthma
Diabetes
Epilepsy
Heart Condition
ADHD
Allergies
Other
Additional Medical Information
Does your child carry an Inhaler, EpiPen etc? Please state what they carry.
Does your child have Special Needs / or require Additional Support
Yes
No
Additional Information regarding their Special Need
Revolut Payment
Money can be sent via Revolut to Joe using the number 07521530274. Please write the child/children's name as a reference when sending the money. Money can also be transferred via bank transfer upon request.
My Products
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Register 1 child
Registration for one child, ages 7-13. Armagh Harps Jack Bratton Centre.
£40.00
£
40.00
*Multi-family discount*
1 child = £40 ¦ 2 children £75 ¦ 3 children £110. Please fill out a form for each child, discount will be applied during payment.
Register (Pay via Revolut or Bank Transfer)
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