Summer Camp Campette Registration Form 2020

Campette's Forename:*

Campette's Surname:*

Campette's Date of Birth:*

*Please note: Campette must be ages 11, 12 or 13 at 1st July 2020 to attend this camp. Proof of age may be requested at Camp.

Campette's age at the time of selected camp:*

Summer camp of choice*:

Jersey size:*

---Age 9/10Age 10/11Age 13Ladies size 6Ladies size 8Ladies size 10Ladies size 12Ladies size 14Ladies size 16Ladies size 18Ladies size 20Ladies size 22Mens SmallMens MediumMens LargeMens X-Large

* Please note: these are O'Neill's sportswear sizes. We will do our best to give Campettes their preferred jersey size, or that closest to it. However, this is not guaranteed.

Has your daughter been to Camp before? *

---YesNo

If so, please select which Camp:

---Antrim: BallycastleAntrim: BelfastArmagh: Armagh CityArmagh: CloughreaghArmagh: CraigavonCavan: CootehillClare: EnnisDerry: Derry CityDerry: MagheraDonegal: LetterkennyDown: CastlewellanDown: KircubbinDown: NewryDublinFermanagh: EnniskillenFermanagh: IrvinestownKildare: MaynoothLouthMayo: KnockMonaghan: ClonesSligoTipperary: ThurlesTyrone: ArdboeTyrone: BallygawleyTyrone: DonaghmoreTyrone: GlencullTyrone: Omagh

Please name ONE other Campette you would like to be in your Campette's group at Camp:

* Please note it is not always possible for us to place friends together.

Please state the name of the school your campette attends:

Parent/Guardian's Forename:*

Parent/Guardian's Surname:*

Address:*

Town/City:*

Parent/Guardian's Postcode:*

Parent/Guardian's County:

---AntrimArmaghCarlowCavanClareCorkDerry/LondonderryDonegalDownDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryTyroneWaterfordWestmeathWexfordWicklow

Parent/Guardian's Contact number:*

Parent/Guardian's Mobile number:*

Parent/Guardian's E-mail Address:*

Confirm Parent/Guardian's E-mail Address:*

Relationship to Campette:*

Responsible Adult contact number:*

Does your Campette have any allergies? *

---YesNo

If so, please state what:

Do you grant consent for Michaela Foundation to take photos/videos of your Campette whilst at camp, for promotional purposes only? *

---YesNo

Does your daughter (the Campette) grant permission for Michaela Foundation to take her photo whilst at camp, for promotional purposes only? *

---YesNo

Where did you hear about Camp? (Only select one):*

FacebookTwitterMichaela Foundation WebsiteSchoolRadioChurchCommunity ClubNewspaperFriend / FamilyMichaela Foundation Team Member / VolunteerOther

If other, please state where :