PLEASE PRINT OUT BOOKING SLIP AND RETURN  TO:

GENERAL MANAGER
C/O CANNONS BASKETBALL
19 LOCKHOUSE CLOSE
LEICESTER
LE2 9GT

CANNONS SUMMER CAMP AUGUST 13^th - 17^th 2007

NAME …………………………………………………………..

ADDRESS ……………………………………………………………………………………….

 …………………………………………………………………………………………………….

 ……………………………………………………………………………………………………

TELEPHONE ………………………………(HOME) …………………………….(MOBILE)

DATE OF BIRTH …………………. SCHOOL……………………….  SCHOOL YEAR ……

TO RESERVE A PLACE PLEASE FILL OUT ALL DETAILS

PLEASE MAKE CHEQUE PAYABLE TO LEICESTER CANNONS BASKETBALL CLUB

PARENTS CONSENT TO VIDEOS AND CAMERAS AND PHOTOS OF THEIR CHIDREN
FOR COACHING PURPOSES AND FUTURE PROMOTIONS.

SIGNATORY ………………………………………… NAME IN PRINT

EMERGENCY CONTACT IF DIFFERENT FROM ABOVE ………………………………….