Name of Athlete: *

Sex: Male Female

Date of Birth: *

Name of Parent/Guardian: *

Address:

Email: *

Daytime Phone No: *

Mobile Phone No:

Emergency Contact Tel No:

Please confirm which camp you would like to book: 22nd - 26th July 2012

Residential or Non-Residential: Please Select Residential £325 per person Non-Residential £175 per person

Which athletics club do you belong to?

Which event(s) do you currently do?

What are your current best times?

What is your favourite event?

Please detail any special dietary requirements you may have

Vegan:

Do you have any food allergies:

We recommend that you are fit and healthy to attend the camp however please detail any medical history information which our team should be made aware of (e.g. diabetes, medications taken, etc)

Medical Information:

The residential camp price is £325 per person and non-residential camp option is £175 per person.

We require a deposit cheque (which is non-refundable) made payable to: "run2bu" for £50 per person to the following address:

YOUNG ATHLETE CAMP ADMINISTRATOR, Emma Blundell, Camp Administrator, Young Athlete, 80 High Street, Winchester, SO23 9AT

Electronic payment can be arranged - please email for more information.

Full payment will be required if booking within 6 weeks of the camp start date. We will send you confirmation of your reservation on receipt of your booking form and deposit cheque. The balance of your booking will be due no later than 6 weeks in advance of the camp start date.

A copy of the booking form can be printed once this booking has been submitted. Please ensure you enclose a copy of this booking form along with your payment.