Anyone 4 Science Camp Booking Form 
Camp dates and venue No. of Children Cost

 

 

    

Please complete for each child attending a camp: 

Child's name:__________________  Age:_______

Special health /dietary or other relevant information:
_________________________________________

_________________________________________

I agree to abide by the camp rules as outlined in this brochure.

Child's signature:___________________________
_______________________

Child's name:__________________  Age:_______

Special health /dietary or other relevant information:
_________________________________________

_________________________________________

I agree to abide by the camp rules as outlined in this brochure.

Child's signature:___________________________
_______________________

Child's name:__________________  Age:_______

Special health /dietary or other relevant information:
_________________________________________

_________________________________________

I agree to abide by the camp rules as outlined in this brochure.

Child's signature:___________________________
_______________________

  

Contact Details

Name: _________________________

Address: _____________________________  

____________________________________

Phone: ____________________

e-mail: _______________________________

Contact no. during camp:_______________

Non-refundable deposit of €_____ enclosed.*

We recommend that children wear safety glasses for some activities.  These can be purchased for €5 at camp.

Signed: _________________     ___________
            Parent / Guardian                Date

Please return completed forms to:

Christine Campbell
Anyone 4 Science
Ballyduff
Ashford
Co. Wicklow

* Deposit for Summer camps is €100
   Deposit for all 2 day camps is €60

 

Camp Rules:

Instructions from staff members must be obeyed.

Children must be safety conscious at all times.

Children must not leave the premises without permission during the camp times.