Child's Details
Name
*
First Name
Last Name
Date of birth
*
Any allergies, illnesses or medication
*
Any dietary requirements?
*
Anything you'd like us to know
Do you give permission for your child to appear in photos / videos for our website and social media?
Yes
No
Do you give permission for your child to appear in photos / videos in our camp newspaper and camper films? (these will be shared with children and parents at the end of camp)
Yes
No
Would you like to attend Week 1 or Week 2?
Week 1 (6th - 10th April)
Week 2 (13th - 17th April)
Parent / Guardian Details
Emergency contact 1
Name
*
First Name
Last Name
Relationship to child
*
Email
*
example@example.com
Phone Number
*
Alternative Phone Number
Emergency Contact 2
Name
*
First Name
Last Name
Relationship to child
*
Email
*
example@example.com
Phone Number
*
Alternative Phone Number
Approved Pick up
The emergency contacts are already approved, if there is another adult who will pick up your child from camp, please add their details below (skip this section if not applicable)
Name
First Name
Last Name
Relationship to child
Email
example@example.com
Phone Number
Alternative Phone Number
Payment
Your place at camp is not confirmed until payment is received
Would you like to book early drop off / late pick up?
For parents who work, we offer early drop off (from 8am) and late pick up (until 6pm). Early drop off: one day £6 all week £25 Late pick up: one day £8 all week £35 Early and Late: one day £10 all week £50 Please list the days and times you need (ex. Monday - early, Tuesday - late or all week - early) If you don't wish to book, please put N/A
Payment Details
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Easter Camp - Deposit
£50 deposit confirms your place at camp, remaining balance must be paid before 15th March
£
50.00
Easter Camp - Full Amount
£5 discount for playing in full
£
270.00
Early drop off
Please select the number of days you need.
£
6.00
Quantity
1
2
3
4
5
late pick up
Please select the number of days you would like to book.
£
8.00
Quantity
1
2
3
4
5
early drop off and late pick up
Please select the number of days you would like to book.
£
10.00
Quantity
1
2
3
4
5
early drop off (all week)
early drop off all week
£
25.00
Late Pick Up (All week)
£
35.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
*
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Submit
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