Carrigaline GAA Club

* Your name (payer)

* Your email (for receipt)

* Your mobile number

* Child 1: Name

* Child 1: Year of Birth

* Child 1: GenderMaleFemale

* Child 1: Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

* Child 2: Name

* Child 2: Year of Birth

* Child 2: GenderMaleFemale

* Child 2: Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

* Emergency Contact Name

* Emergency Contact Number

* I am aware that my Children's photograph or video image may be taken whilst attending or participating in games or activities connected with the Club and I consent to it being used by the Club for items like match programmes, year books, match reports, event reports or on the Club website or social media channels.

* Please outline any additional needs that Child 1 has?

* Please outline any additional needs that Child 2 has?

* Code that the Child 1 plays?HurlingFootballCamogieLGFA

* Code that Child 2 plays?HurlingFootballCamogieLGFA

Founded 1884

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