CVSFA autumn camp 2019
Please enter information fully. This will be stored privately and securely. It will also not be shared with any 3rd party.

Please also double check you've correctly entered your mobile and email address otherwise you will not be able to be contacted in the event of emergency.
Email address *
Player name *
Your answer
Player date of birth *
MM
/
DD
/
YYYY
Parent name *
Your answer
Home phone number *
Your answer
Mobile phone number *
Your answer
School *
Your answer
Club side (e.g. Pentwyn Dynamos etc) *
Your answer
Home address *
Your answer
Age Group *
Dates you want to book
Select 'yes' if you want to book a place on that day.
Monday 28th October *
Tuesday 29th October *
Thursday 31st October *
Friday 1st November *
Medical information (if blank none will be assumed)
Your answer
Dietary information (if blank none will be assumed)
Your answer
Allergy information (if blank none will be assumed)
Your answer
I give permission for my son/daughter to have their picture taken, have it displayed on the website and related social media *
I give permission for my son/daughter to receive on pitch medical assessment and treatment *
Information
Thank you for your information
All updates will be placed on our website

www.cardiffandvalesfa.cymru

As well as updates on Twitter @cvsfa

Thank you once again for your support.

If you have any questions please don't hesitate to contact us.
A copy of your responses will be emailed to the address you provided.
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