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OCTOBER Half Term
NEW STARS Application Form - October 2017
Tuesday 24th to Friday 27th October 2017 - Years 3, 4, 5, 6, 7, 8 & 9
10am to 4pm
At Canons Sports Centre, Dalkeith Grove, HA7 4SQ
Netball & Lacrosse
Name of Child *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
School Year *
Name of School *
Your answer
Name of Parent/Guardian *
Your answer
Telephone Number - please give a couple of options of people we can contact on the day of camp if we need you *
Your answer
Email Address *
Your answer
I would like to book the following days of camp *
Required
Please make payment online for the number of days you wish to book: New Stars 09 06 66 43512143
One day costs £40
Two days costs £80
Three days costs £120
The whole four day week costs £140
Please outline any allergies, medical conditions or dietary requirements. Please also specify if your daughter will be bringing any medication to camp such as an inhaler, epipen, insulin etc. Please make sure these are in a named bag. *
Your answer
I have read the terms and conditions form (http://bit.ly/2awdMXF) and would like to book my daughter on to the NEW STARS sports camp. *
Required
I give consent for you to use photos and/or videos of my daughter for promotional purposes - facebook, twitter, instagram etc. *
Required
I would like to order some NEW STARS kit - please add to the cost of camp and make payment online
NEW STARS t-shirts and sweatshirt
NEW STARS Lacrosse goggle strap
How did you hear about us? *
Required
By printing my name here I adhere to the Terms and Conditions and wish to book my daughter in to the NEW STARS camp *
Your answer
Thank you for completing this form. You will receive a confirmation email once we have received both this form and your online payment.
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