Kiddie Craicers Summer Academy
August Mon 17th to Thurs 20th 10AM to 12pm, 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.
Format: 00000000000.
Additional Emergency contact no
*
Please enter a valid phone number.
Format: 00000000000.
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
£30.00
£
30.00
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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