PSi Vikings Summer Indoor Hockey Academy 2020
Clinic registration form
Very important. Please ENSURE that it is correct. All correspondence will go to this email.
Secondary Contact Email address
If primary email does not work for some reason...
Player's First Name
Date of Birth
Ensure correct year is entered
Clinic session (select relevant session)
3rd - 5th class girls - Junior school
6th class girls - Junior school
1st year girls - Secondary school
2nd year girls - Secondary school
3rd - 4th year girls - Secondary school
1. Parent (or guardian) Full Name
2. Parent (or guardian) Full Name
Parent (guardian) Mobile Number
Alternate contact number
Other parent mobile preferably
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.
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.
I, as parent or guardian of the registered player agree to the Participant Waiver as outlined above and will view all terms and conditions on the Psi Ireland website
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:
* Payment details *
Cost per player: €100
Payment must be made to secure a place.
Please make payment by EFT or Cheque.
Cheques to be made out to:
4 Holywell Lane
Places are limited to 20 outfielders and 2 GKs
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service