CVSFA autumn camp 2019

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Please enter information fully. This will be stored privately and securely. It will also not be shared with any 3rd party.

Please also double check you've correctly entered your mobile and email address otherwise you will not be able to be contacted in the event of emergency.

Email *

Player name *

Player date of birth *

YYYY

Parent name *

Home phone number *

Mobile phone number *

School *

Club side (e.g. Pentwyn Dynamos etc) *

Home address *

Age Group *

U7 (current year 2)

U8 (current year 3)

U9 (current year 4)

U10 (current year 5)

U11 (current year 6)

U12 (current year 7)

U13 (current year 8)

U14 (current year 9)

U15 (current year 10)

Dates you want to book

Select 'yes' if you want to book a place on that day.

Monday 28th October *

Tuesday 29th October *

Thursday 31st October *

Friday 1st November *

Medical information (if blank none will be assumed)

Dietary information (if blank none will be assumed)

Allergy information (if blank none will be assumed)

I give permission for my son/daughter to have their picture taken, have it displayed on the website and related social media *

Yes

I give permission for my son/daughter to receive on pitch medical assessment and treatment *

Yes

Information

Thank you for your information
All updates will be placed on our website

www.cardiffandvalesfa.cymru

As well as updates on Twitter @cvsfa

Thank you once again for your support.

If you have any questions please don't hesitate to contact us.

A copy of your responses will be emailed to the address you provided.

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