Summer Camp Booking Form

Name *
Address *
Telephone No. *
Age *
School *
Medical Conditions? *	Yes No
If Yes, Please Provide Details
Email Address *
	(Required for payment confirmation)
Beach *	Banna Inch
Select Week *	Jun 28th - Jul 2nd (10.00 - 11.45) Jul 5th - Jul 9th (10.00 - 11.45) Jul 12th - Jul 16th (10.00 - 11.45) Jul 19th - Jul 23rd (10.00 - 11.45) Jul 26th - Jul 30th (10.00 - 11.45) Aug 2nd - Aug 6th (10.00 - 11.45) Aug 9th - Aug 13th (10.00 - 11.45) Aug 16th - Aug 20th (10.00 - 11.45) Aug 23rd - Aug 27th (10.00 - 11.45)

Please confirm you have read the above Terms and Conditions*

* Clicking PayNow will bring to a secure server to pay a deposit of 20 Euro per child for the Course, a confirmation email will be sent when payment has been made