Week 1 (13th -17th Aug) Week 2 (20th - 24th Aug) 9:30am-3pm Flat rate charges of €60 per child non-refundable, places are limited to 60 children per week and places will be allocated upon a first come basis upon receipt of payment. Contact : Sports Officer - Institute of Technology Blanchardstown. Tel: 01 8851153 www.itb.ie

1. Application Form
Parent/Guardian Name
Address
Email Address
Telephone (Mobile)
Alternative Emergency Contact Name
Alternative Emergency Contact Number
Does your child have any illness/injuries/allergies Yes No
If yes please describe
As parent/guardian of the above child/children I am aware that the exercise involved
in this camp are of a physical nature and therefore accidents and injuries may occur.
Signature of Parent/Guardian
Please Note:
• Cheques to be made payable to IT Blanchardstown
• All children attending the ITB Sports & Athletic Development Camp must adhere
to the ITB Sport code of conduct
• Registration takes place on the first day of the camp at 9am.
• Programme content is subject to change.

2. Schedule
Week 1 Week 2
13th -17th of August 20th – 24th of August
9:30am-3pm
What to brin
g?
ream
Packe Sun c
lunch d
Appropriate sports gear Receipt of
ets for
purchase
ep swe y
ible ke
if poss onated energ Water ion and runners (to include to be prese
nted on
t
hydra wet weather gear) the mornin
rb
and ca
g of
imum
o a min registrati
rinks t
on
d
Flat rate charges of €60 per child non-refundable, places are
limited to 60 children per week and places will be allocated
upon a first come basis upon receipt of payment.

3. Codes of Conduct
1. Places will be filled on a first come first serve basis. Bookings will only be made on
receipt of an application form and payment.
2. Places are non-transferable and non-refundable except in cases of certified
illness/injury.
3. All medical conditions/learning difficulties must be clearly stated on application
form.
4. The hours of the camp are 9:30am – 3pm Monday to Friday. ITB Sport is not respon-
sible for children outside of these hours.
5. All drivers must respect and obey ITB’s parking regulations.
6. ITB Sport codes of conduct must be adhered to at all times.
7. Mobile phones are not permitted on camp. All valuable must be left at home.
8. All activities are subject to change depending on weather conditions. ITB Sport
reserve the right to cancel or merge activities accordingly.
9. Some video analysis may be used during the course of the week, if you do not want
your child to participate in this please let us know in writing.
10. Lost property will be kept until Monday 27th of August.
I agree to the codes of conduct
Signed:
I/We consent that any photograph that may be
taken of our child/children during the ITB camp Yes No
may be used for ITB Sport promotional material.

4. Letter to Parent / Guardian
Dear Parent,
The ITB Sports and Athletic Development Camp endeavours to maximum each
participant’s physical attributes through fun sports and physical activities. It is our
goal that each child who completes the camp will leave with a better understanding
of their athletic needs and development.
All our coaches are fully qualified in their specific areas of expertise and are current
or former students of the BSc in Sports Management and Coaching course. There
will be a minimum of two fully qualified First Aiders on-site at all times. All coaches
have been Garda vetted and have undertaken training with regard to child welfare.
Thank you for choosing the ITB Sports and Athletic Development Camp and we
hope this can be the start of a long and successful relationship with ITB.
Yours in Sport,
Ronan Keaskin
Sports Development Officer
Contact Us:
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ITB Sports Centre N2
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Web: www.itb.ie Bl
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Shopping Centre