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"
*
" indicates required fields
This camp is for Primary School aged children ONLY
Client Details
Parent's Name
*
Phone Number
*
Email
*
Secondary Contact
*
Please note: We will only contact this person should we be unable to speak to the primary contact.
Phone Number
*
Number of Children
*
1 Child
2 Children
3 Children
4 Children
Children Details
Child's Name
*
Child's DOB
*
What school does your child attend?
*
2nd Child's Name
*
2nd Child's DOB
*
What school does your child attend?
*
3rd Child's Name
*
3rd Child's DOB
*
What school does your child attend?
*
4th Child's Name
*
4th Child's DOB
*
What school does your child attend?
*
Please state if your child has been diagnosed with any specific illness's, conditions, allergies or disabilities that we should be aware of:
*
If not applicable, please put n/a
Collection Authorisation
Please advise who you authorise to collect your child / children.
I give permission for my child to be photographed
*
Please note: these photos may be used on social media
Yes
No
Please state any other relevant information that we should be aware of:
*
If no additional information is to be provided, please put n/a
*
I agree to the Terms & Conditions
https://high5sports.ie/booking-terms-conditions
Discount
Price:
Total
Credit Card
Comments
This field is for validation purposes and should be left unchanged.
