Childs name (required)
Childs Age (required)
Your email (required)
Parent / Guardian Contact telephone (required)
Parent / Guardian Name (required)
Emergency Contact telephone (required)
Select day (required)
Monday 23rd OctTuesday 24th OctWednesday 25th OctThursday 26th OctFriday 27th Oct
Select session (required)
Full Day 10am - 4pmHalf Day 10am - 1pmHalf Day 1am - 4pm
Early drop off required (required)
Late collection required (required)
How would you like to pay (required)
Any medical conditions
I consent to my child taking part in an Egerton Football Club holiday camp. I acknowledge that Egerton Football Club will take all reasonable steps in the exercise of its duty to keep him/her from accident or other harm. I understand that in the event of an accident or other emergency every effort will be made to contact me. If I am unable to be contacted, I consent to my child receiving urgent medical treatment, which in the opinion of a qualified medical practitioner may be necessary, and accept that such practitioner will need to be informed of any medical condition disclosed above. (required)
I give permission for photographs to be taken by a fully authorised photographer nominated by Egerton Football Club and understand that they may be used for publicity purposes concerning Egerton Football Club (required)
I am the Parent / Guardian of the child (required)
The course will be held outside on the 3G or Grass Pitch so Children will need weather appropriate clothing and sports kit with shin pads and trainers/football boots (no metal studs).
Children will have access to the café area at the club during breaks and lunch time and will need to bring a packed lunch and plenty of drinks.
We may also have some access to the Sports Hall so indoor footwear will also be required.
Your Name (required)
Your Email (required)