What a goal Summer camp

What A Goal Summer Camp

Fill this in to secure your place on Leicester's best kids camp!
Parent/Carer Information

Please enter your information below...
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number

Child Information

Please enter the information of the child that will be attending below...
Name

First NameLast Name
Date Of Birth

DayMonthYear
Date
School
Allergies / Dietary Requirements
Gender

Photography and filming consent form

In accordance with our child protection policy, we will not permit photographs, video or other images of young people to be taken without consent. If the child is under 16, consent must be obtained from a parent / carer. What A Goal will take all steps to ensure these images are used solely for the purposes for which they are intended. If you become aware that these images are being used inappropriately, please inform us immediately.
Name Of Child

First NameLast Name
Name Of Carer

First NameLast Name
I give permission for my child's...
I confirm that I have read, or been made aware of, how these images or videos will be stored within the organisation.
Signature

(Please note Full week is Tues, Weds & Thurs)

WEEK 1

Tuesday 28th July

Without Food

£23.00

Wednesday 29th July

Without Food

£23.00

Thursday 30th July

Without Food

£23.00

Tuesday 28th July

With Food

£26.00

Wednesday 29th July

With Food

£26.00

Thursday 30th July

With Food

£26.00

Full Week 1

Without Food ( Tues, Weds, Thurs)

£63.00

Full Week 1

With Food (Tues, Weds, Thurs)

£70.00

WEEK 2

Tuesday 4th August

Without Food

£23.00

Wednesday 5th August

Without Food

£23.00

Thursday 6th August

Without Food

£23.00

Tuesday 4th August

With Food

£26.00

Wednesday 5th August

With Food

£26.00

Thursday 6th August

With Food

£26.00

Full week 2

Without Food (Tues, Weds, Thurs)

£63.00

Full week 2

With Food (Tues, Weds, Thurs)

£70.00

WEEK 3

Tuesday 11th August

Without Food

£23.00

Wednesday 12th August

Without Food

£23.00

Thursday 13th August

Without Food

£23.00

Tuesday 11th August

With Food

£26.00

Wednesday 12th August

With Food

£26.00

Thursday 13th August

With Food

£26.00

Full week 3

Without Food

£57.00

Full week 3

With Food

£63.00

WEEK 4

Tuesday 18th August

Without Food

£23.00

Wednesday 19th August

Without Food

£23.00

Thursday 20th August

Without Food

£23.00

Tuesday 18th August

With Food

£26.00

Wednesday 19th August

With Food

£26.00

Thursday 20th August

With Food

£26.00

Full Week 4

Without Food

£63.00

Full Week 4

With Food

£70.00

Total

Debit or Credit Card
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Credit Card Number	Security Code
Expiration Month	Expiration Year

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