Christmas Camps
Player Registration

 Please complete this form to register your child
 

Cost :

 1 Camp THB   6,500

Book :

 19th to 23rd December 2011
  2 Camps THB   11,000   26th to 30th December 2011
  3 Camps THB   15,000   2nd to 6th January 2012

 
       
Family Name :  

Given Name :  

Date of Birth :  

Sex : 

Boy -  Girl

       
School :  

Class :  

       
Fathers Name :     
Mobile Number :  

eMail :  

       
Mothers Name :     
Mobile Number :  

eMail :  

       
Home Phone :  

Other Contact :  

       
Emergency Contact Name :     
Emergency Contact Number :  

  

       

Kit Size

Shirts

Shorts

Socks

28

Child Small

Small

32

Child Medium

Large

36

Child Large

 

 

Note: actual kit size will be verified at the first session for your course
       
Age Group :  

Based on table below

       

Age Groups

Division

Born between

Under 6

1 September 2007 and 31 August 2005

Under 8

1 September 2005 and 31 August 2003

Under 10

1 September 2003 and 31 August 2001

Under 12

1 September 2001 and 31 August 1999

Under 14

1 September 1999 and 31 August 1997

Under 16

1 September 1997 and 31 August 1995

Parent / Guardian Declaration

I have read and accepted the Terms & Conditions on behalf of the above applicant for a place on iPlay Soccer Camp.

 Medical

This declaration must be completed and signed by a parent/guardian of the participating child and returned to iPlay Sports before the start of the soccer camp. The participant will not be permitted to start the soccer camp until this form is fully completed and returned. If the answer to questions 1-5 is YES or NO to question 6, then the child will not be permitted to start the soccer camp, unless you obtain and forward to us a note from the child's medical practitioner confirming that the child is fit and able to undertake the soccer camp activities.
Has your child ever had a heart condition, or suffered any pains in the chest when doing physical activity? Yes   No
Does your child suffer diabetes or any other blood problem? Yes   No
Has the child any joint, bone or muscle problem that could worsen with exercise? Yes   No
Has the child ever suffered from any pain, distress or medical condition in the past caused as a result of physical activity? Yes   No
Do you know of any medical or health reason as to why the child should not take part in the soccer camp or which might affect the child's health and well being during the soccer camp? Yes   No
If the child is asthmatic but able to administer their own inhaler, has the child received medical clearance to participate in our course? Yes   No
Does your child have any other allergies or medical conditions we should be aware of? Yes   No


I hereby confirm that in the unlikely event of the child requiring first aid or emergency treatment iPlay Sports Co., Ltd are duly authorized to provide first aid and arrange any necessary emergency medical treatment. I confirm that I have read, understood and answered all questions honestly and to the best of my belief. I understand that the participation of the child in the soccer camps will involve physical activity and exertion. In the event that I become aware of any change in the health of the child I shall inform iPlay Sports Co., Ltd.
 
 
Parents Signature :