Dublin Raiders Little Stars Basketball Programme
By completing this form you agree that you & the child named below will take part in Dublin Raiders Little Stars 4 week basketball programme and agree to pay the associated fee of €40 

4 Week Programme Sundays 22rd & 30th March and 6th & 13th April 

Time:10am - 10:45am

Venue: St. Joseph of Cluny

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Email *
Child's Name *
Players Date of Birth: *
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Additional Information we should be aware of *
e.g. Medical Conditions; Autism Spectrum Disorder; Sensory Issues; ADHD, ADD; Dyspraxia
Please name the area you live in
(this information is for grant application purposes)
 *
E.g. Bray, Cabinteely, Killiney
Parent Name *
Contact Number
 *
Do you give permission for photos or videos to be taken and used or published by Dublin Raiders Basketball Club?
 *
Photo's and videos may be posted on our Instagram and Facebook pages
Do you agree to Dublin Raiders Basketball Club contacting you via text message, email or phone? *
Please provide number (s) to be added to team's WhatsApp Group *
Form Completed by: *
A copy of your responses will be emailed to the address you provided.
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