Information brochure and Permission Form

Victory Youth Camp 2015 Permission Form

Please detach this half, and post it along with the €25 deposit per child to the address at the bottom of this page.

My Children’s Names                 Age       Gender Birth-date

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Do your children have any medical conditions we should know about?

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I hereby acknowledge that the above information is true,

Parent or Guardian’s Name (Please print)

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Your Signature                                 Date