SUMMER CAMP REGISTRATION FORM

SUMMER CAMP REGISTRATION FORM
CAMP INFORMATION

AGES: 3.5 - 6yrs

CAMP 1: July 14th - 18th

CAMP 2: July 21st - 25th

TIME: 10am - 12pm

LOCATION: Studio 4, Drinagh Retail Park, Wexford

PRICE: €70 per camp

*10% sibling discount available*

DEPOSIT: €10 deposit required to secure your child's place (once registration form is complete you will receive a confirmation text with payment link for deposit)

*Please complete one form per child. *Remaining fees due on first day of camp.
Which camp would you like to book?*

CAMP 1: July 14th - 18thCAMP 2: July 21st - 25th
Child's name *

First NameLast Name
Child's age*
Child's date of birth *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact number *
Please enter a valid phone number.
Medical / Allergy information *
Emergency contact 1 (name & phone number)*
Emergency contact 2 (name & phone number)*
I AGREE FOR MY CHILD’S PHOTOGRAPH, VIDEO FOOTAGE OR AUDIO TO BE TAKEN BY TOGETHER WE DANCE FOR USE IN MARKETING, PR AND PUBLICATIONS:*

YesNo
I consent to my child having his/her face painted:*

YesNo
GDPR: ‘Together We Dance’ is committed to ensuring the security and protection of the personal information that we process, and to provide a compliant and consistent approach to data protection.
Please print name to sign:*
Should be Empty: