Dundee Hockey Camp Enquiry

Your name: *

Please enter your name

Your email address: *

Confirm Email

Please enter your email address

Players name: *

Please enter the players name

Male or Female *

Male
Female

Please select players gender

Address line 1: *

Please enter the first line of your address

Address line 2: *

Please enter the second line of your address

Town or City *

Please enter your town or city

Postcode *

Please enter your postcode

Parent or Guardian phone number: *

Please enter the Parent or Guardians phone number

Emergency phone number: *

Please enter an emergency phone number, if same as Parent or guardians number please enter it again here

Club or School: *

Please enter the name of the players club or school

Players date of birth *

Please enter the players date of birth

Please tell us about any medical conditions:

Please enter any players medical conditions here

Please tick the dates of the camps the player will be attending *

Administrator to enter date
Administrator to enter date

Please tick the dates of the camps the player will be attending

I agree to the injury and refund policy *

I Agree

The parent / guardian must agree to the statements below.

I understand that whilst the organisers and coaches will take every precaution necessary, they cannot be held responsible for any injury or otherwise, however caused, to the above named.

Please note that should a player not attend, payment is non-refundable.

Consent for photography *

I give my consent
I do not give my consent

On occasion, HPC (Scotland) Ltd will take photographs of the children for promotional material, for example, on the HPC web page, which is currently being developed. Our web page address is www.hpcscotland.co.uk. Contact information can be found on our web site. The photographs will be taken either on video or via a digital camera and would be used strictly for the sole use of our Company and will not be passed to any other party. Can you please confirm that you would allow your child’s/children’s photograph to be taken during the course of the event.

T-shirt size required

small
medium
large
extra large

Please enter the size of T shirt to fit the player

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