Swilly Park Halloween Camp Registration Form
Complete the player and parent details, choose your payment method, and select consent and preferred position.
Player's Name
*
First Name
Last Name
Year of Birth
*
2013
2014
2015
2016
2017
2018
2019
2020
Player's Current or Existing Club
Preferred Position
Please Select
Goalkeeper
Defender
Midfielder
Forward
Other
Medical conditions we should be aware of
Parent's Name
*
First Name
Last Name
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000 0000.
Parent's Email Address
*
example@example.com
Do you give consent for your child's image to be used on social media?
*
Yes
No
Method of Payment
*
Revolut
Cash
Register
Should be Empty: