Oxfordshire - STEM Summer Course Booking Form 2024

Booking Form - UTC Oxfordshire
Your Details
First Name*
Last Name*
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address 2

CityCounty

Postcode
Relationship to child?
Emergency Contact

Please give us a different contact than the person named above. This contact will be used if we are unable to contact the person named above.
Name*

First NameLast Name
Phone Number*
Relationship to child?*
Child Details
First Name*
Last Name*
Date of Birth*

DayMonthYear
Date
Address*

Address

Address Line 2

CityCounty

Postcode
Does this child have any medical conditions or allergies?*

YesNo
If you have answered 'yes', please give more details including symptoms, triggers, signs, treatment etc.
Will this child be bringing any regular medication with them?*

YesNo
If you have answered 'yes', please give more details e.g. name of medication, when and how it will need to be administered.
Does this child have a disability, learning or behavioural needs or any other conditions that may effect them whilst on the course?*

YesNo
If you haveanswered 'yes', please give us more details and indicate what adjustments wecan make to ensure they are able to access the course.
Occasionally we may take photographs and videos of the children whilst on the course. We do this to show you what they have been doing each day and also to use on our marketing materials in future years. Do you give us permission to take photographs and video of this child and use the image in print and online?*

YesNo
Week selection & payment

T&Cs apply.

Please select the week and course for this child. Children must be 8 years or older and under 14 years of age. We base our groupings on the school year the child will begin in Sept 2024. Junior: Going into year 4, year 5 and year 6. Senior: Going into year 7, year 8 or year 9.*

WEEK 1 - JUNIOR - Robotics & Racing - Deposit Payment

Monday 29th July - Friday 2nd August 2024

£258.00

WEEK 1 - JUNIOR - Flight & Space - Deposit Payment

Monday 29th July - Friday 2nd August 2024

£258.00

WEEK 1 - SENIOR - Robotics & Racing - Deposit Payment

Monday 29th July - Friday 2nd August 2024

£258.00

WEEK 1 - SENIOR - Flight & Space - Deposit Payment

Monday 29th July - Friday 2nd August 2024

£258.00

WEEK 2 - JUNIOR - Robotics & Racing - Deposit Payment

Monday 5th August - Friday 9th August 2024

£258.00

WEEK 2 - JUNIOR - Flight & Space

Monday 5th August - Friday 9th August 2024

£258.00

WEEK 2 - SENIOR - Robotics & Racing

Monday 5th August - Friday 9th August 2024

£258.00

WEEK 2 - SENIOR - Flight & Space

Monday 5th August - Friday 9th August 2024

£258.00

WEEK 3 - JUNIOR - Robotics & Racing

Monday 12th August - Friday 16th August 2024

£258.00

WEEK 3 - JUNIOR - Flight & Space

Monday 12th August - Friday 16th August 2024

£258.00

WEEK 3 - SENIOR - Robotics & Racing

Monday 12th August - Friday 16th August 2024

£258.00

WEEK 3 - SENIOR - Flight & Space

Monday 12th August - Friday 16th August 2024

£258.00

Enter coupon

Total

£0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I agree that The Engineering Trust, trading as STEM Summer Courses, can send me information about future products. We will always treat your personal details with the utmost care and will never share or sell them to any other companies for marketing purposes.*

YesNo
Should be Empty:

Booking Form - UTC Oxfordshire

Your Details

Emergency Contact

Child Details

Week selection & payment