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 1st - Jun 5th (10.30 - 12.30) Jun 8th - Jun 12th (10.30 - 12.30) Jun 15th - Jun 19th (10.30 - 12.30) Jun 22nd - Jun 26th (10.30 - 12.30) Jun 29th - Jul 3rd (12.00 - 14.00) Jul 6th - Jul 10th (12.00 - 14.00) Jul 13th - Jul 17th (12.00 - 14.00) Jul 20th - Jul 24th (12.00 - 14.00) Jul 27th - Jul 31st (12.00 - 14.00) Aug 3rd - Aug 7th (12.00 - 14.00) Aug 10th - Aug 14th (12.00 - 14.00) Aug 17th - Aug 21st (12.00 - 14.00) Aug 24th - Aug 28th (12.00 - 14.00)

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