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Shavuot camp
Dates: 
Monday 4th June
Tuesday 5th June
Friday 14th June
Location: Hasmo primary school
Time: 10am -3pm (optional early drop off 9am, optional late pick up 4pm)
Age: 3-7 (Girls & Boys)
Price: £35 per day
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Name and surname of child *
Age & DOB (both required) *
Parent name *
Parent email *
Parent number *
Health Declaration
Please state any allergies, medical or physical requirements we should be aware of
School *
Dates *
Required
early drop off (9-10am, £5 extra)
Late pick up (3-4pm, £5 extra)
Permission for pictures for instagram page *
Required
Terms and conditions
Places are allocated on a first come first serve basis. Due to safety regulations, your child will not be able to join unless registration and payment has taken place. In the event of a medical emergency incident/accident involving my child whilst my child is in the care of Kick It Coaches, I understand that the staff will endeavour to contact me as soon as possible. I understand that all records kept on my child are confidential and that I can view them at any time. We reserve the right to cancel the club and the club can be cancelled with less than the min of 6 children. Coaches cannot be held responsible for children before/after the specified times. Refunds will not be given if the child is absent or parents cancel, nor if the child cannot attend for any reason including corona symptoms of the child himself/herself or anyone in his/her group bubble.

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payment by direct transfer or cash delivered to 23 Shirehall Lane NW4 2PE

Tara Schapira
Sort code: 09-01-29
Account number: 25186291
(child name and surname as reference)
places will only be confirmed by email once payment and form has been received.

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