'Wild In The Woods' Dernwood Children's Woodland Club Booking form
Please fill this out as fully as you can for your group, all information will be held in confidence and not shared with other parties.

Please make a full payment by bank transfer no later than one week before the session date. Full refunds given to cancellations up to one week before, after this date 50% refund due to leader being booked, resources and time planning. Cancellations due to extreme weather or instructor being ill a full refund or the date re-arranged where possible.

£18 per child
Accompanying Adults free

Sibling discount
Two siblings £30, threes siblings £45 (£12 per additional sibling)

Children Aged 2 – 5 need to be accompanied by an adult

Bank details:
Laura Warren
Co-operative bank
Acc. No. 80116561
Sort code 089300
Reference: Dernwood and name of person booking session

Email address *
Name of person booking *
Your answer
Mobile number
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Date of session *
Time of session (requested or booked) *
Which session would you like?
Number of children in your group *
Your answer
Names and ages of children in your group *
Your answer
Please let me know if any of your party have allergies or medical conditions *
Your answer
Please let me know if any of your party has any special educational or physical needs I need to be aware of? *
Your answer
Emergency contact details (please give an alternative from above)
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Data protection - personal information is stored securely and kept for a maximum of 6 months. We will not pass on information to any other parties. please tick the box to advise us you have read this statement and give consent. Thank you
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