Summer Camp Enrolment

Summer Camp Enrolment Form 26

Step 1 of 3

Product Name

Camp Days(Required)

Full week (28th, 29th, 30th July)

28th July (half day)

28th July (full day)

29th July (half day)

29th July (full day)

30st July (half day)

30st July (full day)

Quantity(Required)

If you’re enrolling a sibling, please enter the quantity as ‘2’.

Coupon

Please contact enquiries@kidsworks.co.uk to claim your sibling discount.

Total

First Child's Name(Required)

First Last

First Child's DOB(Required)

Second Child's Name

First Last

Second Child's DOB

Medical Information

Medical Data(Required)

I consent to my special category (medical) personal data provided above to be shared with coaches for the purposes of the delivery of my child’s safe participation in club activity. This data will not be shared or processed for any other purpose.

Parent/Guardian Name(Required)

First Last

Full Address(Required)

Email(Required)

Contact Number(Required)

Emergency Contact Name(Required)

First Last

Relation to Child(ren)(Required)

Emergency Contact Number(Required)

How did you hear about us?

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

Summer Camp Enrolment