PSi Vikings Summer Indoor Hockey Academy 2020
Clinic registration form
Email address *
Email Address *
Very important. Please ENSURE that it is correct. All correspondence will go to this email.
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Secondary Contact Email address
If primary email does not work for some reason...
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Player's First Name *
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Player's Surname *
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Date of Birth *
Ensure correct year is entered
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Clinic session (select relevant session) *
School *
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1. Parent (or guardian) Full Name
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2. Parent (or guardian) Full Name
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Parent (guardian) Mobile Number *
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Alternate contact number *
Other parent mobile preferably
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Preferred Playing position *
Young indoor players will be required to play in all positions. This is merely and indication of preferred playing position. Goalkeepers need to bring their own kits. Please click ONE of the options below only.
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Participant waiver
14.1 I hereby authorise PSi Vikings or its representatives to obtain emergency medical treatment on behalf of my child in the event that, in the opinion of PSi Vikings or its representatives, my daughter/son is in need of such treatment. I further agree that I will be responsible for the payment of any and all medical treatment, associated transportation costs or medicines of any nature which may arise in connection with any sickness or accident which may occur during the Event/League and/or Clinic , whether such expense is incurred during or subsequent to the Event/League and/or Clinic , and will indemnify and hold harmless the Event/Camp and/or Clinic and further release the Event/League and/or Clinic , or its representatives for any damages sustained by me in connection with providing of medical treatment.
I acknowledge and understand that PSi Vikings Events/Camps and/or Clinics are privately run sports events and have no affiliation or partnerships with the venues and/or facilities at which they are operated. I agree to hold the Event / League and/or Clinic location, venue and/or host, its facilities, management and employees as well as PSi Vikings and its business partners, officers, agents, employees, coaches, chaperones and officials harmless from and against any and all claims for injury, costs, liability, damages or loss to person or property which may be sustained or occur while at Events / Leagues and/or Clinics, whether or not they are due to negligence and in consideration I give my consent for my child named on the application to participate in all sport activities at the Event / League and/or Clinic. Also, any damaged caused by my daughter/son to camp or facility property will be her/his responsibility to remedy or reimburse.
I hereby acknowledge that there is a risk of injury involved in sports participation. My daughter/son is physically fit and able to participate in strenuous activities and attend this Event / League and/or Clinic.
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Clinic information
PSi Vikings Indoor Hockey Summer Academy

7 weeks of High Quality indoor hockey culminating in a three day Indoor hockey festival on the June bank holiday weekend !!

Venue: St Columbas College, Rathfarnham

Academy dates & times: (Exclude Easter weekend)

3rd – 5th class girls : Sundays 5 April – 24 May 1:30 – 3pm

6th class girls : Sundays 5 April – 24 May 12 – 1:30pm

1st year girls : Saturday 4, 18 April: 3 - 4:30pm
Sunday 26 Apr – 24 May: 9 – 10:30am

2nd year girls : Saturday 4, 18 April: 1:30 - 3pm
Sunday 26 Apr – 24 May: 10:30 – 12pm

3rd – 4th year girls : Wednesdays 8 April – 20 May: 8 – 9:30pm

Join the PSi Vikings Academy to be eligible to play at PSi Showdown 2020, 30 May - 1 June 2020 – Gormanston Park and compete against PSi Franchises from Ireland, Scotland and England

Places will be limited so sign up ASAP

Cost of Academy phase : €100

Any enquiries please contact:
Miles Warren
Tel: 0877736076
Email: psivikings@gmail.com
* Payment details *
Cost per player: €100

Payment must be made to secure a place.

Please make payment by EFT or Cheque.

EFT
IBAN: IE71IPBS99062027052289
BIC: IPBSIE2D

Cheques to be made out to:
Herbert Warren
4 Holywell Lane
Swords






Payment method *
Places are limited to 20 outfielders and 2 GKs
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