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camps homepage meet the team camp programme cork camp dublin 1 camp galway camp ulster camp dublin 2 camp s
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Please note if you do not wish to pay for the camp online print off THIS FORM, attach a cheque for the right amount and send to the IHA offices.

If you wish to pay with credit card please complete the below steps online & submit - you will then be redirected to our SECURE online payment area. Places are not confirmed until payment is received.

Cork - Harlequins HC, July 12th-16th

PARTICIPANT DETAILS:
First Name :
Surname:
Address:
Date of Birth: dd/mm/yyyy
Gender: Boy                          Girl
School:
School Team: *if applicable
Club: *if applicable
Club Team: *if applicable
Playing Position:
Any Medical Conditions: Yes                          No
 
Further Comments:
 
 
PARENTAL / GUARDIAN DETAILS:
Parent/
Guardian 1 :		 *For reference purposes please ensure this name is the same name of the Credit card holder which will be used for processing camp payment.
Mobile
Number 1:
Parent/
Guardian 2::
Mobile
Number 2:
Alt Emergency Number:
Email:
*Please note - this email address will be used for all correspondence
   
   
Terms & Conditions


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