Summer Camp for 6 -12 year olds
Balgaddy Child and Family Centre 2024
Adult/Guardian Details: Name
*
Full Name
Contact Number:
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
Town
County
Eircode
Child's Details
*
First Name
Last name
Date of birth
*
-
Month
-
Day
Year
Date
When the camp is over my child
*
Can walk home alone
Will be collected by a family member or friend
I give permission for my phone number provided to be added into a WhatsApp group for the purpose of exchanging information about the camp
*
Yes
No
I give permission for my son/daughter’s photo to be taken for the purpose and promotion of this programme. Some photo’s may be posted on centres Facebook page.
*
Yes
No
Does your child have any medical issues / allergies
Does your child have any additional needs we should be aware in order to support their participation
Submit
Should be Empty: