Summer Camp 2019
Elite Athlete Programme
Summer Camp ~ Day Rate Form
Indicates required field
Day Rate Standard
Day Rate Premium
Day (17th August - 22nd August 2019)
Day Rate Standard
Time: 9:00am - 5:00pm
Day Rate Premium
Time: 9:00am - 8:30pm
Includes Lunch, Dinner & Evening Training
Note: Does not apply for Thursday 22nd 2019
Deposit paid by
If yes, please give details below:
Permission for your child to attend the course and receive treatment (if required) by the School Staff, Sports Therapist and Coaches.
Permission to take photographs of your child for publicity purposes.
Permission to take photographs/videos of your child for coaching, analytical and feedback purposes.
Parent/ Gaurdian's Name
If the applicant is under 16 then the name of the person giving his/her permission
be stated in the box provided
Athlete Information Form
Please indicate below details of any special dietary needs, food allergies, or intolerance. Please do not include food preferences, likes or dislikes. Please be specific and include as much detail as possible.
Nut/ Peanut Allergy
Other (please state)
Other Dietary Need/ More Information:
Medical Requirements/ Injuries
Please provide any medical conditions in the box below:
Please provide any injuries in the box below:
Health and Safety guidelines are very strict about the issue of medicines administered and we are required to have your consent to give your child calpol or paracetamol should the need arise. If consent has been given, Parents will be notified once medication has been administered.
If you consent to the administering of calpol or paracetamol to your child should the need arise. Please give permission below:
If your child is on medication and you wish for a member of staff to administer any medication. Please give permission below:
Permission for your son/daughter to take part in any swimming sessions.
Parent/ Guardian Signature
National Governing Body (NGB) Membership
Please provide your National Governing Body (NGB) membership number in the box below. All athletes attending the Summer Camp must have a current license with their respective NGB. If you need a British Fencing License please click
National Governing Body
By applying to attend the camp, you and your parents have agreed to abide by the ‘Campus Rules’ and the authority of the coaching team and staff. All fencers attending the course must abide by these rules, anyone found to be breaking the rules will be asked to leave the course immediately.
The 'Fencer' understands and agrees to the Campus Rules.
Marketing and Advertising
Please select preferred options for future marketing. Please be aware that if you click 'none' you may not receive any future information from West Country Swords regarding training camps, training days, competitions and any other events we hold.
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Waiver & Liability Disclaimer
ASSUMPTION OF RISKS
: Fencing is a physical activity which, by its very nature, carries with it a certain inherent risk that cannot be eliminated regardless of the care taken to avoid injuries. Fencing classes include activities that involve strenuous exertions of strength using various muscle groups, quick movements involving speed and change of direction, and sustained physical activity which can place stress on the cardiovascular system.
The specific risks vary from one activity to another, but the risks range from minor injuries such as scratches, bruises, and sprains to major injuries such as eye injury, joint or back injuries, heart attacks and concussions.
WAIVER OF LIABILITY
: In conclusion of my (my child’s) participation in the sponsored activities of the arranged by West Country Swords and its associates, I acknowledge, agree to and understand that: I am fully aware of and appreciate the risks, including the possible risk of serious injury associated with my (my child’s) participation. I further agree on behalf of myself, my heirs, and personal representatives, that Daniel Robinson, along with volunteers, agents, and lessee of the premises, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of my (my child’s) participation in the sessions provided, or as a result of equipment that may have been provided to me for those activities.
DAMAGES & LOSS
Participants are respectfully advised that all personal property including sports equipment, clothing and money remains the sole responsibility of the participant. Daniel Robinson and its associates and will not be liable for any claim or expenses arising directly or indirectly as a result of loss, theft or damage to the personal belongings of any individual.
CONSENT FOR MEDICAL TREATMENT:
This is to certify that I give my consent to West Country Swords & associates to obtain medical care from any licensed physician, hospital or clinic for the above named Participant for any injury or illness that may arise during activities associated with fencing classes or competitions.
You agree that we may publish your Personal Information as part of the results of the Event and may pass such information to any governing body or any affiliated organisation for the purpose of insurance, licences or for publishing results either for the event alone or combined with or compared to other events. Results may include (but not be limited to) name, any club/home country/regional/county affiliation, results, age category, penalties
You also agree that in the event of a disciplinary or welfare incident that you are either involved in or witness, we may pass on your personal information to British Fencing or any other relevant Authorities for the purposes of supporting any investigatory activity into that incident.
Waiver & Liabilty Disclaimer Agreement
By ticking the box you agree to the terms stated above.
I agree to receiving marketing and promotional materials
©Copyright 2019 West Country Swords
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