Castle Barna Junior Camp 2017

One form per child

Lunch provided each day

(057) 93 53384, info@castlebarna.ie
Find us on Facebook /castlebarna/

Child Name *
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Parent/Guardian Contact Name *
Your answer
Contact number *
Your answer
Contact email *
Your answer
Is your child already a Castle Barna Junior Member for 2017? *
Please inform us of any relevant medical condition or medications that we should be aware of
Your answer
Terms & Conditions - Please read
All children must be 10 years of age on the 1st of June 2017, otherwise they must remain under parental supervision at all times during the session.

There may be no more than TWO children under age ten to any one adult.

For safety reasons we ask that children be at the club NO EARLIER THAN 9.45am & collected promptly by 1.45pm.

I confirm that I have authority to consent that my child may be conveyed (by ambulance, car or other means) to hospital or a doctor for the purpose of medical attention where such is deemed necessary by camp staff.

I give parental consent for my child to take part in Castle Barna activities, which may include the taking of photographs/video imagery to be used in the promotion of junior golf.

I am aware that this information will be shared where applicable.

By submitting this form you agree to the above terms & conditions.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.