Avoca Hockey Club
Founded 1895
Co. Dublin
Purchase Product for Avoca Hockey Club
2022 Senior Camp (1st – 4th year) - Week 2
€80.00
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Parent Details
*
Parent name (payee)
*
Parent email (for receipt)
*
Parent mobile number
Child Details
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Child's Full Name
*
Child's DOB (DD/MM/YY)
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Child's Gender
Male
Female
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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, please specify
School, if 'other' selected above
*
Class/Year for Sept 2022
--Please Select--
4th Class
5th Class
6th Class
1st Year
2nd year
3rd year
4th year
*
Position
Goalkeeper
Outfield
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