Anyone 4 Science Junior Camp 
Booking Form 

 

Camp No. of Children Cost
 

 

    

Please complete for each child attending a camp: 

Child's name:__________________  Age:_______

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:_______

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:_______

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:_______________

Fee of €_____ enclosed.*

 

Signed: _________________     ___________
            Parent / Guardian                Date

Please return completed forms to:

Christine Campbell
Anyone 4 Science
Ballyduff
Ashford
Co. Wicklow

* €40 per child for Junior Camps

 

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.