Beaconsfield Town FC Multi-Sport Camp Registration Form

Child's Full Name *

Dob *

Age *

Gender *

Camp 1 Options

Camp 1 - Full 5 day camp

Camp 1 - Monday 30th July - Friday 3rd August (£75.00)

Camp 1 - Which 3 days would you like to attend? (*must be 3 consecutive days*) (£50.00)

Please tick if you have chosen the 3 day camp option.

Camp 1 - 3 day camp option

Camp 1 - I wish to attend individual days? (*no more than two consecutive days*) (£20.00 per day)

Camp 2 Options

Camp 2 - Full 5 day camp

Camp 2 - Monday 6th August - Friday 10th August (£75.00)

Camp 2 - Which 3 days would you like to attend? (*must be 3 consecutive days*) (£50.00)

Please tick if you have chosen the 3 day camp option.

Camp 2 - 3 day camp option

Camp 2 - I wish to attend individual days? (*no more than two consecutive days*) (£20.00 per day)

Camp 3 Options

Camp 3 - Full 5 day camp

Camp 3 - Monday 13th August - Friday 17th August (£75.00)

Camp 3 - Which 3 days would you like to attend? (*must be 3 consecutive days*) (£50.00)

Please tick if you have chosen the 3 day camp option.

Camp 3 - 3 day camp option

Camp 3 - I wish to attend individual days? (*no more than two consecutive days*) (£20.00 per day)

Medical Information

My child has the following medical issues: *

Other: please expand on your child's medical needs.

Primary Contact

First Name *

Last Name *

Relationship to Child *

House Number *

Street Name *

Town *

County *

Post Code *

Phone Number *

Email Address *

Emergency Contact

Contact 1

First Name *

Last Name *

Relationship to Child *

Phone Number *

Contact 2

First Name *

Last Name *

Relationship to Child *

Phone Number *