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Summer Camp at ReCreate
ReCreate will not pass any information regarding attendees onto a third party. All information provided will be treated with total confidentiality.
For any additional queries contact us on: Tel: 01- 4568798 or Email: fharrington@recreate.ie
Email address *
Parent Contact information
Please give as much information as possible in case we need to contact you in an emergency
Parent name *
Your answer
Address *
Your answer
Mobile Number: *
Your answer
2nd Mobile Number in case we can't reach you at main mobile number: *
Your answer
E-mail *
Your answer
How many children are you registering for the Summer Camp at Recreate? *
This helps us plan for our camp, we are so excited!
Child Name 1 *
Your answer
Child Age: *
Child 1 Special requirements (dietary / medical): *
Your answer
2nd Child Name:
If you have a 2nd child to register please fill out their details, name age and medical/dietary requirements
Your answer
2nd Child Age:
Child 2 Special requirements (dietary / medical):
Your answer
3rd Child Name:
If you have a 3rd child to register please fill out their details, name age and medical/dietary requirements
Your answer
3rd Child Age:
Child 3 Special requirements (dietary / medical):
Your answer
Please give details of any additional or assisted needs?
Your answer
A non-refundable booking deposit of 50% is required upon booking. Full payment must be made before the start date of July 22nd
Payment can be made on our website after you have filled out this form or you can drop payment into Recreate.
Date: *
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