Purchase Product for Portarlington GAA Club

Hallowen Camp 2022- 3 Children

€50.00

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Parent Details

* Parent name (payee)

* Parent email (for receipt)

Parent mobile number

Child Details

* Address

* Child 1 Full Name

* Child 1 DOB (DD/MM/YY)

* Child 1 GenderMaleFemale

* Child1: 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 Full Name

* Child 2 DOB (DD/MM/YY)

* 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

* Child 3 Full Name

* Child 3 DOB (DD/MM/YY)

* Child 3 GenderMaleFemale

* Child 3: 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 (if different to parent details above)

Emergency Contact Number (if different)

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

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Portarlington GAA Club

Founded 1893

Portarlington GAA Club

Laois

Purchase Product for Portarlington GAA Club

Fill in your details and pay

Parent Details

Child Details