Derrynane Sea Sports - Teen Camp Booking form 
This form is ONLY for Teen camp, ages 12-17
Booking is NOT confirmed until you receive a confirmation email
Teen camp runs Thursday 1pm to 5pm & Friday 10am to 3pm
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Name of Parent/guardian *
Email address *
Mobile number  *
Child's Name(s) 
(If you have more than one child please enter details for each child below)
 *
Date of Birth - Child 1  *
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Date of Birth - Child 2 
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Date of Birth - Child 3 
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Date of Birth - Child 4 
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Gender  *
Required
Is your child a repeat camper? *
Select camp dates  *
Required
Medical history 
please provide details of any known allergies and medical conditons 
 *
Does your child have any diagnosed developmental, neurological, or behavioral conditions (e.g., autism, ADHD, learning disabilities) that we should be aware of to better support them? (please specify if yes) *
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