Kiddie Craicers Summer Academy
August Mon 18th to Thurs 21st, participants must have completed P1 and not yet started P4
Childs Name
*
First Name
Last Name
Child School Year
P1
P2
P3
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
County
Postcode
Parent/Guardians Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Additional Emergency contact no
*
Please enter a valid phone number.
Medical Needs and Emergency Procedures
It is essential that these are given for Health and Safety Purposes
Has you child any medical conditions or allergies, if yes please give details
*
yes
no
Please detail any medical conditions or allergies
Has you child any additonal needs or requirements, if yes please give details
*
yes
no
Please detail any medical conditions or allergies
I consent to my childs photograph/video footage being used for archive and promotional purposes
*
yes
no
I consent to my child taking part in Craic Activities not limited too but including workshops and performances
*
yes
no
My Products
*
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Registration Fee
£
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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