Top Edge & Gertsen TT Training Camp @ The Dorset Table Tennis Centre, Christchurch
17th, 18th & 19th February 2017
Places will be allocated on a ‘first come, first serve’ basis. To reserve your place, complete the application form and email it to email@example.com. Your place will be provisionally confirmed upon receipt of this form and payment is required by the Friday 3rd February at the latest (ideally within two weeks of booking onto the course).
Timings, costs and payment details can be found on the next page.
Please indicate which days you’d like to attend here:
Participant's Name __________________________________ Date of Birth _____________
Mobile Phone ____________________ Email _____________________________________
Any Medical issues which the coaches will need to know: ______________________________________________________________________
Emergency Contact Name ________________________________________________
Emergency Contact Number ______________________________________________
I accept full responsibility for my / my children's participation. I relieve the coaches, directors, sponsors and any others involved in the class of any liability for injury, loss or damages.
I give my consent to the publication of photographs and / or film recorded by or on behalf of Top Edge Table Tennis and Gertsen TT (for myself or my child's / children's taking part in the above training camp)
Signature (type name if submitting electronically) _________________________________
Date ____________________ (Parents signature for those under 18)
If you are submitting this form electronically then you should note that in the absence of this signature the emailing of this application constitutes your personal certification that the details are correct.
Payment Instructions - Please reference your first initial, surname and 'camp'
Mr S D Gertsen
If payment via BACS is not possible, please get in touch and we can arrange an alternative payment method.
1 Day = £55
2 Days = £100
3 Days = £140
The Dorset Table Tennis Centre is based at the Grange School, Redvers Road, Christchurch BH23 3AQ. For those driving, use BH23 3AT.
Dates & Times
Friday 17th - 12:00-17:30
Saturday 18th - 9:30-15:00
Sunday 19th - 9:30-15:00