Avoca Hockey Club
Founded 1895
Co. Dublin
Purchase Product for Avoca Hockey Club
2023 Easter Camp (4th - 6th class)
€110.00
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Parent Details
*
Parent name (payee)
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*
Parent email (for receipt)
Parent mobile number
Child Details
*
Child's Full Name
*
Child's DOB (DD/MM/YY)
*
Child's Gender
Male
Female
Other
*
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)
*
Are you a member of Avoca Hockey Club?
--Please Select--
Yes
No
*
School
--Please Select--
Carysfort
Castlepark
Dalkey
Guardian Angels
Harrold
Hollypark
Holy Child
Loreto Beaufort
Loreto Bray
Loreto Dalkey
Loreto Foxrock
Loreto Stephen’s Green
Mount Anville
Mount Merrion
Muckross
Newpark
Our Lady's
Rathdown
Rathmichael
Scoil Lorcain
Sion Hill
St Andrews
St Anne’s
St Brigids
St Joseph Cluny
St Killians
Other
School, if 'other' selected above
*
Class/Year
--Please Select--
4th class
5th class
6th class
*
Position
Goalkeeper
Outfield
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