Holiday Camps Booking Form - Basketball

Booking your space

Please complete one form per young person or one per family

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* 1. Please tick activity / date

Basketball 5 april (School years 3-6 only)

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* 2. £20 per session **(are you booking siblings together or booking more than one day? Then the cost is £18 per child per session)

This is a booking for one day or child - £20

This is part of a multiple day / child booking - £18

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* 3. How many children are you booking for

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* 4. Has your child(ren) attended a holiday sports camp before

Information about the child

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* 5. Childs Name

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* 6. Gender

Male

Female

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* 7. Child's School

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* 8. Child's address and postcode

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* 9. Contact telephone number

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* 10. Contact email address

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* 11. Child's Date of Birth

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* 12. Age of Child

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* 13. School Year Group

Disability

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* 14. Does the participant have a disability

Yes

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* 15. If yes, please state what the disability is

visual impairment

Hearing impairment

Physical disability

Learning difficulty

Multiple disability

Other

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* 16. Please provide any further information about the disability you have selected

Medication / Allergies / Illness

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* 17. Does the participant suffer from any allergies or illness, or take any medication

Yes

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* 1. Please tick activity / date

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* 2. £20 per session **(are you booking siblings together or booking more than one day? Then the cost is £18 per child per session)

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* 3. How many children are you booking for

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* 4. Has your child(ren) attended a holiday sports camp before

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* 5. Childs Name

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* 6. Gender

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* 7. Child's School

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* 8. Child's address and postcode

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* 9. Contact telephone number

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* 10. Contact email address

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* 11. Child's Date of Birth

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* 12. Age of Child

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* 13. School Year Group

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* 14. Does the participant have a disability

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* 15. If yes, please state what the disability is

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* 16. Please provide any further information about the disability you have selected

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* 17. Does the participant suffer from any allergies or illness, or take any medication

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* 18. Please provide further information including any medical details that we may need to know about