2024 Summer Camp Application Form

Summer Camp Application Form

Cork Acro Gymnastics Club
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number 1

Area CodePhone Number
Phone Number 2

Area CodePhone Number
Email
example@example.com
Date of birth

DayMonthYear
Date
Camp Dates

July 1st to 5th CAMP FULL WAITING LIST ONLYJuly 8th to 12th Senior Acro CampJuly 15th to 19th Advanced Acro & Tumbling CampJuly 22nd CAMP FULL WAITING LIST ONLYJuly 29th to Aug 2nd Open Junior & Intermediate levelAugust 12th to 16th Open Mixed Levels CampAugust 19th to 23rd Senior Acro Camp
Details of any illness or condition

AsthmaDiabetesEpilepsyAllergyInjuryASDDyspraxiaNothingOther
Other medical condition/diagnosis not mentioned above blanks
Details of any medication your child will bring to camp each day blanks Dosage:blank
I give permission for necessary first aid treatment for my child childs name in the event of injury or illness during camp. I will not send my child to camp if he/she has any Covid 19 symptoms. (Sore throat, fever, cough, headache, runny or blocked nose)
Signature

Clear
A payment link will be sent to you when your application has been processed. places will be confirmed once the €30 deposit is received. The balance is due on the first day of camp. €55 for members and €60 for non members.
Should be Empty: