Garryowen FC All Weather Pitch Camp Dooradoyle Thursday 3rd Nov 2011 Time: 9.30am-13.30pm Cost: €20 (includes camp gift)   Name: _______________________________________________ Guardian(s) name: _____________________________________ Age group: ______ Date of Birth: _____________ Sex: ________ Address: _____________________________________________ ____________________________________________________ Home phone: _________________________________________ Mobile: ______________________________________________ E-Mail: ______________________________________________ Are there any medical conditions/medication which may affect your child? ____________________________________________________________ I give permission for _______________________ to attend Garryowen FC Camp Signed:_______________________ Date:____________________ NB: You must reserve your place at the camp with Dave Heelan. Please contact Dave with your details before 5pm Wednesday 2nd Nov 2011 Completed forms can be returned on the day of the camp or to the address below. Camp Contact Person : Dave Heelan Mobile: 086 8620066 Email: daveheelan@yahoo.co.uk   Garryowen FC Supporting Club Munster + Ireland Please return application forms to Garryowen FC Clubhouse c/o Bar Steward JJ Gunning or post to Dave Heelan, 43 Inis Orga, Sixmilebridge, Co.Clare. Contact on Ph No. 086-8620066 or e-mail daveheelan@yahoo.co.uk