Summer Camp 2019 Online Application Form
Please fill in this form to apply for a child placement on our Summer Camp, click the 'Submit' button when completed to send in your form and we will contact you asap to confirm your child's place. Use one form per child place requested.
Name and Surname of Child *
Your answer
Name of Parent(s)/Guardian(s) *
Your answer
Email Address *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Age (at present) *
Your answer
A) Alternative Contact Name in case of Emergency *
Your answer
B) Phone number of emergency contact as named above *
Your answer
Name of anyone other than yourself who is permitted to collect your child
Your answer
Please list any medical conditions or allergies that your child suffers from:
Your answer
Any other information you feel we should be aware of:
Your answer
I give permission for my child as named above to be photographed/videographed at summer camp in a solo or group capacity for the purpose of sharing on social media, placing on school website and storing at BAPA offices. *
Required
Submit
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