Rosemont Easter Camp
4 day camp from Tuesday April 14th to Friday 17th April
Email address *
Family Surname *
Your answer
Child 1 First Name *
Your answer
Child 1 Date of Birth (dd/mm/yyyy) *
Your answer
Child 1 Sex *
Child 2 First Name
Your answer
Child 2 Date of Birth (dd/mm/yyyy)
Your answer
Child 2 Sex
Child 3 First Name
Your answer
Child 3 Date of Birth (dd/mm/yyyy)
Your answer
Child 3 Sex
Parent Name and Surname *
Your answer
Parent Contact Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Does your child or any of your children have any medical conditions, learning difficulties or dietary restrictions (including for religious reasons)? *
If yes, please specify
Your answer
Camp Dates (9.30 - 2.30)
Tue 14 April
Wed 15 April
Thu 16 April
Fri 17 April
Yes
No
Before Camp Care (if required)
Tue 14 April
Wed 15 April
Thu 16 April
Fri 17 April
8.30am
9.00am
After Camp Care (if required)
Tue 14 April
Wed 15 April
Thu 16 April
Fri 17 April
3.30pm
4.00pm
4.30pm
5.00pm
5.30pm
6.00pm
6.30pm
Consent Options *
Yes
No
I understand that camps are completely nut free and that packed lunches I provide will not contain nuts.
I consent to medical information being shared with relevant staff, and placed in a spot easily accessible for staff members.
I consent to photos and videos being taken of my child during camp, displayed on noticeboards and on the Rosemont After School website's MEMBERS ONLY forum for parents.
I understand that children must be accompanied and signed in and out of Rosemont each day.
I consent to my e-mail address being used to contact me regarding future Rosemont Camps and Care
Cancellation Policy: Cancellations are subject to a strict 7 day written notice policy. Full fees apply if insufficient notice is given. Bookings may be increased to additional days or hours subject to availability and at the discretion of management. Bookings are not secured until €25 deposit PER CHILD has been paid. Please follow the link on the following page to pay the deposit via debit/credit card. *
Finally, please rate your experience with our booking form!
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