Hereford FC/HFA Football Camp Sign-up - Summer 2023

The following form needs to be completed to register your child for the HFC/HFA Football Camp.

Player Details

Player Name

Player Date of Birth

mm/dd/yyyy

Player Home Address

Allergies/Medical Requirements

Please list here any allergies, conditions or medication your child takes that our coaches and staff will need to be aware of.

Parent/Carer Details

Parent/Carer Full Name

This will also be used as the primary emergency contact.

Parent/Carer Email Address

Parent/Carer Full Home Address

Parent/Carer Mobile Number

2nd Emergency Contact Name

2nd Emergency Contact Email Address

2nd Emergency Contact Mobile Number

Payment

Please select which dates you would like to attend (an invoice will then be issued to your email address): Please note prices per week are 1 day = £25 including food, 3 days = £70 incuding food and HFC match ticket and 5 days = £100 including free food, HFC match ticket and hoodie

Payment Option

Consents

Emergency Aid

I consent to HFA/HFC staff administering first aid to my child

Photo

I consent to the HFA/HFC taking photograph and film of my child for HFA promotional purposes only.

Send me a copy of my responses

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