DATES 26th & 27th Aug 2014
TIMES 10am start till 3pm
SPORTS SUMMER CAMP FOR BOYS AND GIRLS
Suitable for all abilities, aged 6 - 14 years old
SUMMER 2014
£12 per day or £20 for both days
All attendees will receive a Bradford Salem summer camp T-Shirt
FULLY SUPERVISED, FUN TRAINING BY RFU QUALIFIED COACHES
SAFE & FRIENDLY ENVIRONMENT (ALL COACHES CRB CHECKED)
Kids need to bring packed lunch and
suitable clothing. Boots not essential
BRADFORD SALEM JUNIOR RUGBY CAMP BOOKING FORM
If booking for more than one child please complete a seperate form
PARENT/GUARDIAN BOOKING DETAILS
DATES YOUR CHILD WOULD LIKE TO ATTEND please tick
DETAILS OF CHILD ATTENDING
Title..................... First Name........................................ Surname...........................................
First Name............................................... Surname...................................................................
MEDICAL & EMERGENCY CONTACT
METHOD OF PAYMENT
Any medical conditions or educational requirements
the coaches need to be aware of?........................................................................................
DOB........................................................... School.......................................................................
T-Shirt Size (kids small, medium or large) ..................................................................................
Address.........................................................................................................................................
............................................................................................ Postcode...........................................
..........................................................................................................................................................
Full name of emergency contact..........................................................................................
Telephone no........................................... Relationship to child..........................................
Tuesday 26th August - £12
Wednesday 27th August - £12 Both days - £20
Daytime Telephone.......................................................Mobile...............................................
Email...............................................................................................................................................
Please return this form & a cheque, made payable to Bradford Salem Juniors
to Juniors Coach, Simon Markey 37 Oakwood Drive, Bingley, BD16 4SJ.
If you have any questions about the course please contact Simon on
07816 661805 or e-mail simon@newmarkelectrical.co.uk.