February Mid Term Camp Registration 2023
Please select your desired camp week?
*
Monday 13th February - Friday 17th February 2023
How many children do you wish to book?
*
1
2
3
4
Child 1 Details
First Name
*
Surname
*
Child Age
*
Age when attending camp
Camp Category
*
C1 4-6 years old
C2 7-9 years old
C3 10-12 years old
Group Request
Please give details if your child would like to be grouped with any other child in the same age category. We will endeavour to accomodate but we cannot guaruntee.
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Any activity the camper should be restricted from?
Child 2 Details
First Name
*
Surname
*
Child Age
*
Age when attending camp
Camp Category
*
C1 4-6 years old
C2 7-9 years old
C3 10-12 years old
Group Request
Please give details if your child would like to be grouped with any other child in the same age category. We will endeavour to accomodate but we cannot guaruntee.
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Any activity the camper should be restricted from?
Child 3 Details
First Name
*
Surname
*
Child Age
*
Age when attending camp
Camp Category
*
C1 4-6 years old
C2 7-9 years old
C3 10-12 years old
Group Request
Please give details if your child would like to be grouped with any other child in the same age category. We will endeavour to accomodate but we cannot guaruntee.
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Any activity the camper should be restricted from?
Child 4 Details
First Name
*
Surname
*
Child’s Age
*
Camp Category
*
C1 4-6 years old
C2 7-9 years old
C3 10-12 years old
Group Request
Please give details if your child would like to be grouped with any other child in the same age category. We will endeavour to accomodate but we cannot guaruntee.
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Any activity the camper should be restricted from?
Please review before moving to Parent & Payment details
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Contact Information
Parent / Guardian Name
*
Contact Number Mobile
*
Contact Work Number
Parent / Guardian 2 Name
Contact Number Mobile
Contact Work Number
Email Address
*
ID Number
Staff/Student/Member ID number for member rate only
Collection Authorisation
Details of Individuals authorised to collect
*
Signature
*
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My Products
*
Categories:
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All
Member Camp
Non Member Camp
Supervision
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Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
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Member Camp
Member/UCC Staff/Swim Lesson Member
€
118.00
No of Children
0
1
2
3
4
5
6
Item subtotal:
€
0.00
Non Member Camp
Non Member
€
139.00
No of Children
0
1
2
3
4
5
6
Item subtotal:
€
0.00
Supervision
Morning Supervision
Daily morning supervision rate 8.30am - 9.45am
No of Children
Price
Wednesday
0
1
2
3
4
€
5.00
Thursday
0
1
2
3
4
€
5.00
Friday
0
1
2
3
4
€
5.00
Item subtotal:
€
0.00
Evening Supervision
Daily Evening Supervision from 3.00-5.30pm
No of Children
Price
Wednesday
0
1
2
3
4
€
7.00
Thursday
0
1
2
3
4
€
7.00
Friday
0
1
2
3
4
€
7.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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Please ensure all information is correct before submitting.
Ensure payment options align with booking details
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