Summer Camp Sign Up 2023 | Bandon Athletic Club

** Please note, completing the form below will not reserve a place on the camp. Place will only be reserved after the payment is made. Please ensure use the details suggested for the narative when making payment to ensure the payment can be tracked to the application easily.**

Name - 1st camp attendee *

Date of Birth - 1st camp attendee *

Class in School - 1st camp attendee *

Name - 2nd camp attendee

Date of Birth - 2nd camp attendee

Class in School - 2nd camp attendee

Name - 3rd camp attendee

Date of Birth - 3rd attendee

Class in School - 3rd camp attendee

If you need to register more than 3 please complete an additional form.

Number of members *

Cost is €75 per attendee. So cost is €75 for 1, €150 for 2, €200 for 3.

Parent/Guardian Contact Name & Number *

All Club information/communication is conducted through texts, any number(s) provided will be used for text messages . If you do not get texts please text 086 2725230 . Communication to all Juvenile athletes will be through the Parent/Guardian only.

Parent/Guardian Second Contact Name & Number

Postal Address *

E-mail of Parent/Guardian *

Please ensure just 1 email is provided here and that it is correct format and valid email.

Family Doctor

List any illnesses/conditions the coaches should know about:

In the event of illness I give permission for medical treatment to be administered by a nominated first aider / suitably qualified medical practitioner / emergency hospital treatment. *

I confirm that all the above details are correct, I hereby consent as parent/guardian to the above child(ren) participating in activities of the Bandon Athletic Club in line with the Code of Ethics for Young People. I will inform club of any changes to the information above.I understand that photographs & occasionally video may be used during training, or at athletic club related events and may be used in the promotion of athletics *

I agree.

Parent/Guardian *

Message