Summer Camp Booking Form 2008

Name-                                    Contact Number- .....................   Other number- .......................... 

Address- ...............................        Age-                   E-mail address-.............................. 

             ................................                   Please circle the camp you wish to attend

             ................................        Starfish- full days    Starfish-half days   Shark Club   Adventurers            

Medical Conditions(if any)-...................................................................................

Please circle the week you wish to attend-    Week 1- 30th June-4 th July   

Week 2-7th- 11th July    Week 3- 14th- 18th July     Week 4- 21st-25th July

Week 5- 28th July-1st Aug Week 6- 4th- 8th Aug   Week 7- 11th-15th Aug    Week 8-18th-22nd Aug

                                                        Week 9- 25th- 29thAug .

N.B. Bookings cannot be processed unless deposit of €75 is included.

                            Booking Conditions-

1 - A non refundable deposit of €75 must be paid on booking, with the balance payable no less then 2 weeks before arrival.

2 -If D.E.A.C. is unable to place you on a suitable course then the deposit will be returned

3 -Participants with any medical conditions, illness, injury or any medication must provide evidence that they are suitable to take part in activities. A medical certificate is required for this purpose.

4 -Persons partaking in water activities must be water confident. If unsure, please contact the centre to discuss suitability.

5 -Persons must be generally physically fit to take part in activities

6 -Persons must be willing to comply with all safety regulations and carry out instructions as requested by the staff at the centre.

7 -D.E.A.C. reserves the right to cancel or alter any programme as it deems necessary. In the event of cancellation an alternative programme or date may be arranged.

***** Deposit of €75 must be included to secure booking *****

I have read and understood and agree to all of the above conditions-

Signed- ...........................................      Parent or Guardian

Does the camper have permission to go to the village at lunch time-Adventurers only Y $ N $

Office Use Only- Date Received   /   /   .   Deposit received-Yes $   No    $

Amount received- €            Acknowledgement sent- Yes $   No    $