I Would Like To Book A Place For The Week (please select one from list) *None select.......For 9-13 Year Olds (Mon 11th to Fri 15th July) 10.30am to 1.30pmFor 14-18 Year Olds (Mon 18th July to Fri 22nd July) 10.30am to 2.30pm

Child’s Age *

Child’s Name *

Address *

Parent/Guardian Name *

Mobile No: *

Email Address (we will confirm place by email) *

Alternative Contact Name & Phone No (in case of emergency) *

Any Allergies, Dietary or Other Special Circumstances The Co-Ordinators Should Be Aware Of?

I Agree To Pay The €40 Fee for Week 1/Week 2 - Creative Arts Summer Camp *