Activity Camps Sports Camps Easter Holidays 2022

BINGHAM SPORTS CAMP REGISTRATION FORM Easter Holidays 2022

BINGHAM LEISURE CENTRE
FUN + INTERACTIVE MULTI-SKILL SPORTS CAMPS!

Please fill out the form and if you have any questions please contact us at info@activitycamps.co.uk
Childs Details
Name*

First NameLast Name
School Year
Name

First NameLast Name
School Year
Name

First NameLast Name
School Year
Name

First NameLast Name
School Year
Please give details of any medical conditions for the above Child/Children

What Dates are you Child/Children attending? (Please note we are not open on Friday 15/04/2022 due to bank holiday)

Parent/Carer Emergency Contact Details
Care Giver Name

First NameLast Name
Mobile Number (Please pay attention to the instructions under the boxes)*

First 5 numbersRemaining number
E-mail*
Relationship to Child (ren)
I give consent for ActivityCamps.co.uk to contact me regarding sport related clubs or activities.*

YESNO
I give consent for ActivityCamps.co.uk to use pictures & videos for publicity reasons.*

YESNO
Confirmation

BY CLICKING SUBMIT, I AM DELIVERING AN ELECTRONIC SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE ACCEPTED AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Payment options

Please select the dates below. You have two options to choose from: your kids can join us from 8am to 4.30pm, or 9am to 3pm. We also offer single days or weekly passes. If you would like any assistance please call us on 07985238847 and we will be happy to help.
Where did you hear about us
If it is a friend referral then please quote their name.

My Products*

Week Commencing 4/04/2022

All Day 8.30 -4.30£ Free

Week Commencing 4/04/2022

Item subtotal:£0.00

9am -3pm£ Free

Item subtotal:£0.00

Week Pass £115.00

No of KidsTime Slot

Week Commencing 10/04/2022

All Day 8-4.30£ Free

Item subtotal:£0.00

9am - 3pm£ Free

Week Commemcing 10/04/2022

Item subtotal:£0.00

Week Pass 2£115.00

No of KidsTime Slot

Enter coupon

Total £0.00

PLEASE BE CAREFUL NOT TO CLICK THE FORM TWICE, THERE WILL BE A SMALL DELAY WHILE IT IS PROCESSING, YOU MAYBE CHARGED TWICE IF YOU CLICK TWICE, THANK YOU FOR YOUR CUSTOM, PLEASE EMAIL info@activitycamps.co.uk if you have any issues.
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BINGHAM SPORTS CAMP REGISTRATION FORM Easter Holidays 2022