Masters Camp 2012 – Booking Form

Please complete the form in BLOCK CAPITALS

Name: ______Club: ______

Address: ______Phone No: ______

______Email: ______

______SI Membership No: ______

Fees

€165 to incude a SI Masters T-shirt, lunch on both days and handouts.

Places are limited to 18 swimmers on a first come first served basis.

To book a place email Anne Morrisey at attaching this booking form.

Payment must be by means of cheque, postal order or bank draft made payable to Swim Ireland and must be received on or before Monday 24th of September otherwise another will be offered the place. The postal address to which the fees are to be sent is: Anne Morrissey, 434 Courtown Road, Kilcock, Co. Kildare.

If the number of bookings is more than 18 people, a waiting list will be set up. If payment is not received before the date stated your place will be offered to the next person on the waiting list.

By signing this form you are committing to attending all five swimming sessions.

Signed: ______Date: ______

Masters Coaches – CPD points available

If you are a Masters coach you may also attend the camp as an observer. Priority will be given to Level 3 coaches who coach Masters swimmers. CPD points will be allocated for the following sessions: Saturday 5 Points, Sunday 6 Points. Please fill in your details above, tick the appropriate box and sign the form below.

Places are limited to 5 people on a first come first served basis. To book a place, please email Anne Morrissey at and attach the booking form.

☐ Saturday €30

☐ Sunday €35

☐ Both days € 60

The clinic attendance fee includes for CPD certificate.

Cheques made payable to Swim Ireland and posted with booking form to Anne Morrissey:

Anne Morrissey, 434 Courtown Road, Kilcock, Co. Kildare.

Signed: ______Date: ______

Note: Full refunds will be paid immediately to those who are not succesful in their application. If intrest is such that justifies the running of a further clinic those who did not qualify for this clinic will be given top priority in the selection process for the next clinic.