1 Start 2 Complete Parent name: * Address: * Email address: * Camp venue * SelectAbbeyfeale United FCAbbeyleix AFCAbbey Rovers FCAdamstown FCAlbion Rovers FCAllenwood CelticArdmore AFCArlington AFCArra Rovers FCAthenry FCAthlone Institute of TechnologyAughrim Rangers Football ClubAura Leisure CentreAvenue United FCBagenalstown AFCBallinahown FCBallisodare United FCBallybofey UnitedBallybrack FCBallyduff AFCBallyhaise CelticBallyjamesduff AFCBallymackey FCBallymahon AFCBallymote CelticBallyoulster United FCBalrath GB FCBearna Na Forbacha AontaitheBellurgan United FCBirr Town AFCBlarney United FCBlayney RoversBree UnitedBreska Rovers AFCBridge Rovers AFCBridge United AFCBT Harps FCBunclody AFCBurren UnitedCahir Park AFCCallan United AFCCamp JuniorsCampile UnitedCarrick Rovers AFCCastle Villa/ Borora Juniors AFCCastlebar CelticCastleknock CelticCastlelack FCCeiltigh Ghaoth Dobhair/Gweedore CelticCLANE UNITED AFCClara Town FCClaremorris AFCClashmore Ramblers FCClodiagh Rangers FCClonmel Town FCClover UnitedCoachford AFCColga FCCoolaney United FCCoolboy RangersCoonagh Sports & Social ClubCorach Ramblers FCCorduff FCCorkbeg AFCCorofin Harps Schoolboys and Girls Football ClubCorofin UnitedCraughwell United FCCurracloe United AFCDe La Salle FC WaterfordDrinagh Rangers AFCDrogheda Town FCDrumbar UnitedDunboyne AFCDuncannon FCDungarvan United AFCDunmore Town AFCDunshaughlin Community CentreEnfield CelticEvergreen FCFastnet Rovers AFCFerrybank AFCFirhouse Sports ComplexForth CelticGalbally United FCGlaslough Villa FCGLEBE NORTH FCGlen Celtic AFCGreystones United AFCGurteen CelticHarold Cross YFCHighview AthleticHodson Bay Celtic FCHolycross FCHome Farm FCKerry District LeagueKilbarrack UnitedKilcullen Community CentreKilfrush crusadersKillala FCKillarney Athletic AFCKillarney CelticKillavilla United AFCKillenaule/MoyglassKillester Donnycarney FCKiltimagh Knock United Soccer ClubKinnegad Juniors AFCKnocklyon United Football ClubKnocknacarra FCLeixlip UnitedLetterkenny Community Centre CLGLismore AFCListowel CelticLough Derg FCLusk United AFCMalahide United AFCManortown UnitedManulla FCMastergeeha FCMayfield Community School Sports ComplexMervue UnitedMidleton Football ClubMitchelstown Leisure CentreMogeely FCMoher Celtic FC Schoolboys/girlsMoneypoint FCMountmellick United FCMountshannon CelticMoville Celtic FCMucklagh Schoolboys/girls Soccer ClubMullinahone FCMullingar Athletic AFCMosneyMungret Regional FCMurroe AFCNaas Sports CentreNenagh A F C Brickfields LtdNew Oak Boys FCNew Ross Celtic AFCNewmarket CelticNewport Town AFCNorth East Football LeagueOughterard AFCPark Rangers AFCParkvale FCPaulstown 06 FCPeake Villa FCPeamount United FCPortlaoise AFCPortmarnock AFCProspect Holiday & Leisure ParkRathcoole Boys FC, Frank Cox ParkRathnew AFCRatoath Harps FCRearcross FCRockmount AFCRosslare Rangers AFCSalthill Devon FCShillelagh United YouthsShinrone LFCShountrade AFC.Sporting Ennistymon FCSporting Greystones FCSpringfield RamblersSt Bernards UnitedSt FrancisSt Marys Boys FCSt Michaels Schoolboys FCSt. Leonards FC (Wexford)St. Mochtas Football ClubSt.Brendans Park FCStrand Celtic FCSwilly Rovers FCSwords Celtic FCSwords Manor FCTemple Villa AFCTerenure Rangers FCTermonfeckin Celtic FCThomastown United AFCTombrack UnitedTorro United AFCTramore AFCTrim Celtic AFCTulla United AFCTullamore Town FCUniversity of LimerickVerona FCWalshestown FCWaterford FCWayside Celtic FCWestport United FCWexford Celtic FCWaterford IT ArenaO’Gorman Park, Coxes DemenseAdare United Camp start date * SelectMonday, July 20thMonday, July 27thMonday, August 3rdMonday, August 10thMonday, August 17th Child name: * Child name 2: Child name 3: 1. Do you or your children have symptoms of cough, high temperature (38 degrees Celsius or higher), shortness of breath or sudden loss of sense of taste or smell now or in the past 14 days? * Yes No 2. Have you or your children been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days? * Yes No 3. Are you or your children a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (i.e. less than 2 metres for more than 15 minutes altogether in 1 day)? * Yes No 4. Have you or your children been advised by a doctor to self-isolate at this time? * Yes No 5. Have you or a member of your household travelled back to Ireland from abroad in the last 14 days? * Yes No Comments relating to COVID-19, not included in the above, which may need to be considered to allow your child/children safely participate in the camp. Please review these questions daily. If your or your child/children’s situation changes after you complete and submit this form, please ensure you inform FAI representatives immediately. You will receive an email to confirm receipt of this declaration. Please check your spam folder in case the email is delivered there.