Rock Banned! Booking Form
26th July – 6th August 2021
Dog Kennel Hill School, East Dulwich SE22 8AB
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Email *
Child's Name *
Date of Birth *
School Attended Currently
Parents/Carers  Name *
Contact Number *
Email Address *
Emergency Contact 1 *
Child's Relationship to Emergency Contact *
Emergency contact 1 Number *
Emergency Contact 2 *
Emergency Contact 2 Number *
Chil'ds Relationship to emergency Contact 2 *
Allergies and Medical Conditions
Additional comments
Please write here if you would like to let us know more about your child (e.g. particular aptitudes, emotional needs, likes etc.) and how you would like him or her to benefit from the workshop.
Payment *
The Holiday Course is offered on a Pay-What-You-Can basis, ranging from £20 to £390. This is so that we can offer the club as widely as possible. If you are able to meet the full costs, PLEASE don't claim a discount, we do have to limit discounted places to make sure we cover our costs. Please fill in below how much you can pay for the 10-day course. Invoices will be sent separately.
Do you require wraparound care?
This is just to give us a rough idea for staffing levels, we will send a separate booking form nearer the time
We will be taking photos at the course, please tick all the boxes which apply if you are happy for your child to be included. *
How did you hear about the course? *
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