PARENTAL CONSENT As parent/guardian, I wish for my child to attend this Sloan Street Football Camp. I recognise that Ambassadors Football and Sloan Street Presbyterian Church are under no liability whatsoever in respect to any personal loss or injury which the above named applicants may sustain during the Sloan Street Football Camp. I also hereby authorise the staff of Ambassadors FOOTBALL • FAITH • FUTURE Football to act for my child in their best judgement in SLOAN STREET PRESBYTERIAN CHURCH any emergency situation requiring medical attention. CHURCH CONTACT (Please sign below to acknowledge that you have read and understand the above statement) FOOTBALL Signed: ________________________________________ Alistair White Tel : 07522640334 Date: __________________________________________ CAMP Ambassadors Football Camp Sloan Street Presbyterian Church, Sloan Street, PHOTOGRAPHY Lisburn, @ BARBOUR PLAYING FIELDS, BT27 5AG During this Sloan Street Football Camp, photographs BALLYNAHINCH ROAD, LISBURN and video clips may be taken of some of the different Online registration at www.sloanstreet.org activities the boys and girls are involved in. These photos • BOYS & GIRLS • or video clips may be used in church presentations and in Ambassadors literature. AGED 7–11 YEARS OLD If you do not wish for your child to be included on any camp photographs/ video clips please tick this box. DATA PROTECTION Your information will not be given to any third parties, but it will be stored by Ambassadors Football Ireland in accordance with the Data Protection Act 1998. If you do not wish for your details to be stored on our database please tick this box. DATE: MONDAY 31ST JULY Ambassadors Football Camp, TO FRIDAY 4TH AUGUST PLEASE COMPLETE Sloan Street Presbyterian Church, TIME: 6.30PM - 8.30PM & RETURN TO: Sloan Street, Lisburn, COST: £10 BT27 5AG £5 FOR ADDITIONAL CHILDREN IN THE Or online registration at FAMILY www.sloanstreet.org NI069535 Company XT12541 Charity Reference REGISTRATION • Five days CHILD’S DETAILS coaching from WHAT qualified coaches Full Name: _____________________________________ ABOUT • An opportunity to Gender: Male Female OUR SCHOOL win individual and WILL YOU team medals and DOB: __ __ /__ __ /__ __ School Yr: ___________ trophies Please indicate if your child has any medical condition RECEIVE? we should be made aware of. _______________________________________________ Ambassadors Football Camps _______________________________________________ is an initiative of Ambassadors Football Child will be collected by: _____________________ International (formerly Ambassadors in Sport), a Christian organisation with over Child has permission to walk home on their own. 20 years of experience in youth soccer. Here at Ambassadors Football Ireland Boots suitable for CHILD’S DETAILS our Camp Directors are all IFA qualified PLAYERS grass pitches coaches. We also recruit and train SHOULD BRING Training shoes for Full Name: _____________________________________ coaches to help with our soccer schools. WITH THEM THE indoor use Gender: Male Female Shin pads In addition to these coaches, FOLLOWING DOB: __ __ /__ __ /__ __ School Yr: ___________ Ambassadors Football Camp also Tracksuit or other Please indicate if your child has any medical condition represents a growing network of energetic warm clothing we should be made aware of. and experienced local volunteer and Water bottle _______________________________________________ church coaches. At every camp the _______________________________________________ player to coach ratio is never greater than 10:1, to ensure each child receives the Child will be collected by: _____________________ individual attention they need. Child has permission to walk home on their own. Ambassadors Football Camp give the participants an opportunity to learn WHAT NEXT? PARENT / CARER DETAILS basic and advanced soccer skills in a fun, positive and encouraging Christian Title: Mr Mrs Ms Other environment. In addition to great coaching, First Name: ____________________________________ we provide a daily life related “Team Talk” To secure a place at the Sloan Street geared towards communicating the life- Football Camp simply send a cheque Surname: ______________________________________ changing principles found in God’s word. together with your completed registration Email: _________________________________________ Each day includes technical skills, fun form to the contact address provided. Contact Tel: ____________________________________ football games, small sided games, and Or return this form to the church with the the last day involves competitions and a correct fee. Please make any cheques out Address: _______________________________________ fun tournament. to Sloan Street Presbyterian Church. Or _______________________________________________ register online at www.sloanstreet.org HERE CUT _____________________ Postcode _________________.
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