Camp Details
Dates: Easter – 30 th March – 2 nd April
Summer – 25-28 th August
Times: 10am - 4pm
Venue: Wakefield Hockey Club, Eastmoor Road, WF1 3RR
Costs: - £100 for all 4 days
- £30 per day for individual days.
Ages: 8 – 15 years old.
Hockey Days
Each day will be split into a morning (10am-12.30pm) and an afternoon session (1.30pm-
4pm), with an hour long break for lunch. Please ensure your son/daughter brings a packed lunch as they will not be able to purchase this at the Sports Club. The emphasis of the week is enjoyment, so there will be plenty of fun games, new skills learned, and skills tests each day!
What you need to know
Required Equipment – standard hockey equipment is necessary:
- shin pads
- suitable footwear: trainers or astroturf shoes (not studded football boots)
- hockey stick
- gum guard
- water bottle
- packed lunch
*Sticks can be borrowed if your child does not have one.
Appropriate Clothing:
- water proofs
- tracksuits
- sun cream
- hats
Drinks - All participants should bring their own water bottle every day, they will be able to fill it up as and when necessary.
All Wakefield Hockey Club’s coaches hold current governing body qualifications, are insured and have been police checked (CRB/DBS), they are also enthusiastic and committed to making the week a fun and enjoyable experience for your child.

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Childs name: …………………………………………..........
Address:
Gender: Male/Female
………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………
Date of Birth: ……………………………..
Postcode: ………………........
School attended: ……………………………….. Hockey Club: ……………………………….
Standard (please delete to leave relevant standard): Beginner / School / Club / County / International.
Name of parent/guardian: ……………………………………………………..
Contact Phone No. (Home): …………………………………………………… (Work/Mobile): ……………………………………………
Email: ……………………………………………………………………………………..
Address of parent/guardian:
………………………………………………………………………………....................................................................................................
..................................................................................................... Postcode: …………………….
Does your child suffer from any allergies, or any medical condition that may prevent him/her from taking part in any special activity, or that our supervisory staff should be aware of? (please give details if yes)
Yes / No
………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Which days would your child like to attend? (please delete as appropriate): Easter: Mon/Tues/Wed/Thurs
Summer: Tues/Wed/Thurs/Fri
Total Cost £……………………………..
I consent to… (please delete as appropriate)
My child attending and participating in Wakefield Junior Hockey coaching during the Camp
YES/NO
In the event of any illness/accident, whilst every reasonable step will be taken to contact me, any necessary treatment can be administered by trained medical/emergency staff
YES/NO
I agree for my child to be involved in photographs for promotional purposes for Wakefield Hockey Club
YES/NO
My child’s and my information to be processed and stored electronically, and for personal information to be kept for the purpose of administration
YES/NO
Print Name: ………………………………………………………………………..
Signed: ………………………………………………………………………….
I wish to pay via (please tick or delete)
Date:………/……………/…………..
- via Bank Transfer (BACS):
Sort Code – 08-92-88
Account Number – 11331357
Please email Danny Berry stating the amount you have paid as you pay, so he can confirm it has been received to you.
- cheque (please send to address below, with this form and make payable to ‘Daniel Berry’)
- cash (please contact Danny Berry on the contact details below).

Please send the completed form via email attachment to
danny.berry_hockey@hotmail.co.uk, or post to Danny Berry, Wakefield Hockey
Club, Eastmoor Road, Wakefield, WF1 3RR.
If you have any questions then please do not hesitate to call 07450996799.