Booking Form - Silverstone UTC
Your Details
First Name
*
Last Name
*
Email
*
example@example.com
Phone Number
*
Address
*
Address
Address Line 2
City
County
Postcode
Relationship to child?
Parent
Guardian
Grandparent
Carer
Family Friend
Other
Emergency Contact
Please give us a different contact than the person named above. This contact will be used if we are unable to contact the person named above.
Name
*
First Name
Last Name
Phone Number
*
Relationship to child?
*
Parent
Guardian
Grandparent
Carer
Family Friend
Other
Child Details
First Name
*
Last Name
*
Date of Birth
*
/
Day
/
Month
Year
Date
Address
*
Address
Address Line 2
City
County
Postcode
Does this child have any medical conditions or allergies?
*
Yes
No
If you have answered 'yes', please give more details including symptoms, triggers, signs, treatment etc.
Will this child be bringing any regular medication with them?
*
Yes
No
If you have answered 'yes', please give more details e.g. name of medication, when and how it will need to be administered.
Does this child have a disability, learning or behavioural needs or any other conditions that may effect them whilst on the course?
*
Yes
No
If you have answered 'yes', please give us more details and indicate what adjustments we can make to ensure they are able to access the course.
Occasionally we may take photographs and videos of the children whilst on the course. We do this to show you what they have been doing each day and also to use on our marketing materials in future years. Do you give us permission to take photographs and video of this child and use the image in print and online?
*
Yes
No
Week selection & payment
T&Cs apply.
Please select the week and course for this child. Children must be 8 years or older and under 14 years of age. We base our groupings on the school year the child will begin in Sept 2024. Junior: Going into year 4, year 5 and year 6. Senior: Going into year 7, year 8 or year 9.
*
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WEEK 1 - JUNIOR - Robotics & Racing - Deposit Payment
Monday 19th Aug to Friday 23rd Aug 2024
£
258.00
WEEK 1 - SENIOR - Robotics & Racing - Deposit Payment
Monday 19th Aug to Friday 23rd Aug 2023
£
258.00
WEEK 1 - JUNIOR - Flight & Space - Deposit Payment
Monday 19th Aug to Friday 23rd Aug 2024
£
258.00
WEEK 1 - SENIOR - Flight & Space - Deposit Payment
Monday 19th Aug to Friday 23rd Aug 2024
£
258.00
WEEK 2 - JUNIOR - Robotics & Racing - Deposit Payment
Monday 26th Aug to Friday 30th Aug 2024
£
258.00
WEEK 2 - JUNIOR - Flight & Space - Deposit Payment
Monday 26th Aug to Friday 30th Aug 2024
£
258.00
WEEK 2 - SENIOR - Robotics & Racing - Deposit Payment
Monday 26th Aug to Friday 30th Aug 2024
£
258.00
WEEK 2 - SENIOR - Flight & Space - Deposit Payment
Monday 26th Aug to Friday 30th Aug 2024
£
258.00
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
I agree that The Engineering Trust, trading as STEM Summer Courses, can send me information about future products. We will always treat your personal details with the utmost care and will never share or sell them to any other companies for marketing purposes.
*
Yes
No
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