Shamrock Rovers Registration

You must read the terms and condtions to proceed. I have read the terms & conditions

Parent Details

Please select week child(ren) wish to attend *
Summer 1: 5th - 9th july
Summer 2: 12th - 16th July
Summer 3: 19th - 23rd July
Summer 4: 26th - 30th July
Summer 5: 16th - 20th August
Halloween: 26th - 29th October (4 days €79)
Easter 1: 18th - 22nd April 2011
Easter 2: 26th - 29th April 2011 (4 days €79)

Cost per child is €89. For a 2nd or more siblings the cost will be €79

Child 1 Details

Name *

Date Of Birth *

Gender *

What School does your child attend?

Is your child registered with a soccer club?

If so, which club:

Please answer the questions below in relation to your child attending the camp:

Has your child any type of illness or disability that staff should be made aware of:

Has any of your child any allergies that staff should be made aware of:

Is your child on any medication:

Any other medical information for your child:

Playing kit size *
XS - 6yrs
S - 7-8 yrs
M - 9-10 yrs
L - 11-12 yrs
XL - 13-14 yrs
2XL - Small Adult 14yrs+

Child 2 Details

Name *

Date Of Birth *

Gender *

What School does your child attend?

Is your child registered with a soccer club?

If so, which club:

Please answer the questions below in relation to your child attending the camp:

Has your child any type of illness or disability that staff should be made aware of:

Has any of your child any allergies that staff should be made aware of:

Is your child on any medication:

Any other medical information for your child:

Playing kit size *
XS - 6yrs
S - 7-8 yrs
M - 9-10 yrs
L - 11-12 yrs
XL - 13-14 yrs
2XL - Small Adult 14yrs+

Child 3 Details

Name *

Date Of Birth *

Gender *

What School does your child attend?

Is your child registered with a soccer club?

If so, which club:

Please answer the questions below in relation to your child attending the camp:

Has your child any type of illness or disability that staff should be made aware of:

Has any of your child any allergies that staff should be made aware of:

Is your child on any medication:

Any other medical information for your child:

Playing kit size *
XS - 6yrs
S - 7-8 yrs
M - 9-10 yrs
L - 11-12 yrs
XL - 13-14 yrs
2XL - Small Adult 14yrs+

I give permission to bring my child to a hospital or doctor in case of an emergency	No Yes
I give permission to allow my child to be given medical treatment either by way of first aid by a suitably qualified person or by a Doctor at the hospital or at the venue location	No Yes
I give permission to bring my child by coach to the Shamrock Rovers stadium for a tour	No Yes
I agree to allow my child to travel independently to and from the Astropark Shamrock Rovers camps. If you do not agree, please ensure that you make appropriate arrangements to collect your child at the end of each camp day.	No Yes

School	Soccer club	Match Programme	Leaflet
Leaflet in Post	Poster	Newspaper	Letter
Football club	Search Engine/Google	Text message
Other:

Shamrock Rovers Kids Camp Registration

Parent Details

Cost per child is €89. For a 2nd or more siblings the cost will be €79

Child 1 Details

Please answer the questions below in relation to your child attending the camp:

Child 2 Details

Please answer the questions below in relation to your child attending the camp:

Child 3 Details

Please answer the questions below in relation to your child attending the camp:

Please answer the questions below in relation to all of your children attending the camp: