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: 2008 28th July - 1st August 18th August - 22nd August

Residential or Non-Residential: Please Select Residential £295 per person Non-Residential £150 per person

Which athletics club do you belong to

Which event(s) do you currently do

What are your current best times

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 £295 per person and non-residential camp option is £150 per person.

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

Nick Anderson, Young Athlete Camps, 19 Breadcroft Road, Maidenhead, Berkshire SL6 3PA

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.