Faughanvale GAA

* Your name (payer)

* Your email (for receipt)

* Your mobile number

* Address

* Child 1: First Name

* Child 1: Last Name

* Child 1: DOB

* Child 1: GenderMaleFemale

* Child 1: What primary class will this child enter in September 2025?

Child 1: Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

* Child 2: First Name

* Child 2: Last Name

* Child 2: DOB

* Child 2: GenderMaleFemale

* Child 2: What primary class will this child enter in September 2025?

Child 2: Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

* Child 3: First Name

* Child 3: Last Name

* Child 3: DOB

* Child 3: GenderMaleFemale

* Child 3: What primary class will this child enter in September 2025?

Child 3: Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

* Child 4: First Name

* Child 4: Last Name

* Child 4: DOB

* Child 4: GenderMaleFemale

* Child 4: What primary class will this child enter in September 2025?

Child 4: Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

* Emergency Contact Name (if you cannot be contacted)

* Emergency Contact Number (if you cannot be contacted)

* Photographs of children attending the Summer Coaching Camp may be taken and used to promote the club and its activities in local press and the club’s social media feeds. If you do NOT want your child photographed please let us know on the first day.

* Should it be deemed, due to medical consideration, that my child/children would require constant supervision, it shall be the parents/guardians responsibility to provide qualified adult cover.

Founded 1933

Faughanvale GAA

Derry

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