SUMMER CAMP REGISTRATION FORM | PWD Athletics Acadme

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SUMMER CAMP 2025 REGISTRATION FORM

PWD ATHLETICS ACADEMY SUMMER CAMP 2025 REGISTRATION FORM

Tilsley Park, Abingdon

Athlete's Full Name:*

Date of Birth (DD/MM/YYYY):*

Email*

Phone*

Preferred Camp Day

28th July 2025

29th July 2025

30th July 2025

31th July 2025

1th August 2025

4th August 2025

5th August 2025

6th August 2025

7th August 2025

8th August 2025

Athletics Club Athlete is Already Associated With (if any):*

Payment is required at least 7 days prior to your chosen date to secure your place. Details for payment can be obtained from Coach Nikki. I understand payment is required at least 7 days prior to the start date. [ ] Yes/No*

Please Confirm You Acknowledge the Requirement to Provide a Packed Lunch for Each Day Your Child Attends (this is not included in the course fee): I acknowledge that I will provide a packed lunch. [ ] Yes/No*

Full Name of Parent/Guardian:*

Telephone Number:*

Medical Treatment Consent: I give permission for my son/daughter to receive medical treatment from emergency services if necessary. [ ] Yes/No*

Any Medical Issues or Allergies We Should Be Aware Of?*

Behavior and Respect: I confirm that I understand and support PWD Athletics in requiring all athletes to be respectful towards coaches. Any bad behavior will be addressed with parents after the session. [ ] Yes/No

Media Consent: I am happy for PWD Athletics Academy to take videos/photos of my child to use on PWD Athletics social media or website. [ ] Yes/No*

Any Other Information We Need to Know Regarding Your Child?*

Signature*

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Date:*

Thank you for signing up!

We are looking forward to meeting you on the Summer Camp days. If you need any assistance or further details, please do not hesitate to get in touch with Coach Nikki.

PWD Athletics Academy

Email: pwdathletics@aol.com

Email: zoindaughter@gmail.com

Mobile: 07834 630939

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