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SOCAKIDS – In Association with NIKE Teamwear
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Children's Summer Academy
Name: _____________________________________________________ Address: ___________________________________________________ __________________________________________________________ Date of Birth: ____________ Contact numbers: ______________________ Dates: Sat 24/31 May, 7/14/21/28 June, plus Wednesday 26 June Fee: €50 Any illnesses, injuries or special conditions affecting your child that the coach should be aware of: ______________________________________________________ ______________________________________________________________ Email contact (optional) _______________________________________
Please return all completed forms to 21 Castleknock Avenue, Laurel Lodge, Dublin 15. Office use only: Amount received € _____ Cash/Cheque Date: ______________
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SOCAKIDS – In Association with NIKE Teamwear
email
dan@socaskills.com
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