WORLD CUP 26 CAMP 2 | Peterhead FC Community Foundation

Parent/Guardian Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone *

Email *

Emergency Contact Name/Number *

Do you grant permission for your child(ren) to be photographed? *

These photos may be added to Peterhead FC social media and marketing products.

Child Name One *

First

Last

Date of Birth *

Which Session Will Your Child Be Attending? *

AM Session 10am - 12pm, PM Session 12.30pm - 2.30pm

Which Days Will Your Child/Children Be Attending? *

Monday 20th July
Tuesday 21st July
Wednesday 22nd July

Would you like to add a second child for coaching (10% discount per sibling) *

Yes
No

Child Name 2 *

First

Last

Date of Birth *

Which Session Will Your Child Be Attending? *

AM Session 10am - 12pm, PM Session 12.30pm - 2.30pm

Would you like to add a third child for coaching (10% discount per sibling) *

Yes
No

Name *

First

Last

Date of Birth *

Which Session Will Your Child Be Attending? *

AM Session 10am - 12pm, PM Session 12.30pm - 2.30pm

Please note any medical conditions we should be aware of here:

I give permission for qualified staff to administer first aid to my child if required during the camp. I understand that, in the event of a serious injury or medical emergency, staff will make reasonable efforts to contact me/emergency contacts and may seek appropriate medical assistance. *

Yes
No

Total

£0.00

Stripe Credit Card *

SUMMER FOOTBALL WORLD CUP 26 CAMP 2