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PART A: Details of the Person Booking

Emergency contact during camp (if different from above):

PART B: Details of Children:


Date of Birth

PART C: Medical Details of Children

Doctor’s name and telephone number (required by law)

PART D: Payment Details

Please pay accurately using BACS- £25 for one day or £40 for two.

BACS – Sort Code:40-11-00       Account Number: 91751700

Please use attending child’s Surname as reference

PART E: Your Consent

Date