Summer Games Club Booking Form
The Summer Games Club is open to children aged 8-12 and will run from Monday 30th July to Friday 3rd August, between 9.00AM and 4:00PM, at Chestnut Grove Academy in Balham. The cost is £220 for the week. The club will be run by James Wallis and David Murcutt.

Completing and submitting this form will be taken as reserving a place for your child on the club. Bookings are not confirmed until payment has been received in full.

Name of parent *
Your answer
Email address *
Your answer
Phone number *
Your answer
Name of child 1 *
Your answer
Age and favourite game?
Your answer
Any dietary needs, allergies, medication or anything else we should know about them?
Your answer
Name of child 2
Your answer
Age and favourite game?
Your answer
Any dietary needs, allergies, medication or anything else we should know about them?
Your answer
Name of child 3
Your answer
Age and favourite game?
Your answer
Any dietary needs, allergies, medication or anything else we should know about them?
Your answer
Total to pay (£220 per child). Payment details below.
Your answer
If your child is not able to attend for the whole week, some places are available on a daily basis. Please contact James (james.wallis@gmail.com or 07760 165449) to discuss, or if you have any other questions about the Club. **************************************************************** Payment details: by bank transfer to 'J H Wallis', sort code 40-47-87, account 90331821; by Paypal to james.wallis@gmail.com; or by cheque to 'James Wallis'. All payments must be received on or before Friday 27th July. **************************************************************** Parental consent: I am the parent/guardian of the above named child/children and give permission for them to take part in this activity. I understand and accept that whilst all reasonable care will be taken, neither Summer Games Club nor any personnel authorised by them will be responsible for any loss or injury suffered by or to the attendees, howsoever caused. I give/do not give permission for my child to be photographed in any Summer Games Club event for promotional and production use, including visual public displays and multimedia presentation. Signed:
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