Participants name

Enter your childs School

Which camp?
Junior Star Camp (4-11 yrs)

Week commencing

Venue

Please check the boxes for the sessions you would like your child to attend:
MondayTuesdayWednesdayThursdayFriday

Early / Late
EarlyLate

Parent/Guardian Name

Address

Childs D.O.B,

Your email address

Phone Number

Name of Doctor

Address of Doctor

Doctors phone number

Medical conditions

Allergies

Dietary requirements

Any other information

Medication which needs to be taken, should be handed to the Camp Director on the first day of arrival, clearly identified with the child’s name and written instructions accompanying the medication for dosage and time of administration. Pupils with asthma are expected to keep their inhalers with them at all times. All inhalers must be clearly labelled. Pupils who forget their inhaler will unfortunately not be able to take part in certain activities.

Permission to use Photographs and Videos
To promote further Star Camps we may wish to take photographs/videos of your child. By signing this form you grant us permission to use photographs/videos for future promotional material.

Disclaimer
I have read the information provided and agree to my child’s participation in the Star Camp. I believe that the information provided above is correct and will notify the Camp Director of any changes. I accept the sports and activities on any camp involve an inherent risk of injury. I agree to my child receiving medication as instructed and to any dental, medical or surgical treatments as considered necessary by the medical authorities present. I understand the extent and limitations of the insurance cover provided.

I will pay cash on arrivalI will send a cheque to "Star Camps" in advanceI have made an online transfer

Payment amount due:

Please tick box to confirm all details are correct Please tick box to confirm all details are correct