Summer Camp

Registration form

Child Name*

Child Age*

Parent Name *

Parent email*

Parent Phone Number *

Summer Camp Day *

Activity Date *

Medical Detail

Family Doctor’s Name

Do you consider your child/the child in your care to have an impairment, any disabilities or special needs we need to know about? If yes, please provide us with any additional information.

Does your child/ the child in your care experience any conditions requiring medical treatment (e.g. epilepsy, asthma, diabetes, allergies, injuries etc). If yes, please supply details.

Does your child/ the child in your care require any medication? If yes, please supply details.

I confirm as a parent/guardian that the club is not liable for any injuries during summer camp sports activities.

Summer Camp

Summer Camp

Registration form

Medical Detail

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