Nature Culture Regeneration May 2021 - Booking form for 'Woodlanders' - children
This is the booking form for 5-11 year old children attending the Nature Culture Regeneration weekend.
In order to book onto this a guardian adult must be participating on the Village programme or present on site in another way.
Please fill out the form as fully as you can, so we can make your experience the best it can be, and fill out a separate form for each Woodlander.
* Required
Email address
*
Your email
Woodlander details
Please enter the details of the 5-11 year old who is booking on (the details of their Guardian will be entered further down this form).
First Name
*
Your answer
Last Name
*
Your answer
Name you/they would like to be called by
*
Your answer
Gender
Female
Male
Other:
Clear selection
Age
*
5
6
7
8
9
10
11
Other:
Special dietary needs
Your answer
Other needs, ie, mobility, learning difficulties, allergies, injuries etc
Your answer
Guardian details
Name
Your answer
Which programme is the guardian participating on?
The Village
Other:
Clear selection
Your Investment
We ask for a £100 investment for each child on the weekend.
A deposit of £50 is required to reserve each place; the remaining balance is to be paid by 9th April 2021. All bookings after this date require payment in full. The deposit is non-refundable unless it should be necessary for us to cancel this course for any reason.
If we do need to cancel the course, your payments would all be repaid in full.
Payment details:
Peter Cow
Sort code: 08-92-73
Acct no: 88089250
Please put your name and NCR as the reference and email Peter with the details when you transfer it.
Cheques made payable to Peter Cow can be sent to - Dodbrooke Farm, Michelcombe, Newton Abbot, Devon. TQ13 7SP
How are you paying?
*
I am paying the full £100 now by bank transfer
£50 Deposit now
Other:
More about your child to help us shape the week
The more we know about the participants the more we can tailor the week to suit everyone present.
What other events or courses of a related nature have they attended, when and who with (e.g. nature connection, bushcraft, community building etc.)?
Your answer
I consent to my child being given first aid on site, if needed
*
I consent
For more information or if you are stuck
Please contact
peter@8shields.org
Thank you for your time.
In gratitude,
Peter, Linda and the team
A copy of your responses will be emailed to the address you provided.
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