Purchase Product for Athlone Town AFC

Summer Camp 2022 - 1 Child

€75.00

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Parent Details

* Parent name (payee)

* Parent email (for receipt)

* Parent mobile number

Child Details

* Address

* Child's Full Name

* Child's DOB (DD/MM/YY)

* Child's GenderMaleFemale

* Please outline any medical information (i.e. allergies, conditions, medication) which may impact on your child's health, welfare or behavior while participating in the camp

Emergency Contact Name (if different to parent details above)

Emergency Contact Number (if different)

* I am aware that my photograph or video image may be taken whilst attending or participating in games or activities connected with the Club and I consent to it being used by the Club for items like match programmes, year books, match reports, event reports or on the Club website or social media channels.

* Childs Age

* Childs Kit Size

* If you are not a member of Athlone Town AFC, which club do you play for?

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Athlone Town AFC

Founded 1887

Athlone Town AFC

Westmeath

Purchase Product for Athlone Town AFC

Fill in your details and pay

Parent Details

Child Details