Abilities Camp 2012
                     Application Form 

Child 1 Name: _________________________  D.O.B.:_________________

Child 2 Name: _________________________  D.O.B.: _________________

Child 3 Name: _________________________  D.O.B.:_________________

Cost of Camp: For the first child from a family the cost is €10 and for every child from the same family thereafter the fee is €5 each

Address: ________________________________________________________________
Parent/ Guardians Name: ___________________________

Contact Number: __________________________________

Email: __________________________________________
What type of disability does your child have?
Does your child have any medical conditions that we or the coaches should be aware of?
If “Yes” to above please specify below:
Please note that it is a requirement that all parents/guardians (over 18yrs) of the participants remain on the premises for the duration of the camp.
Please forward completed registration form to Monaghan Sports Partnership, Ballybay Town Council, Ballybay, Co. Monaghan. Application must be received before Friday the 16th of March. A limited amount of places are available and early booking is essential.
For more information contact Monaghan Sports Partnership 042 9755126