The Lions group centre - individual short stay application form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

(to be used to book a space for half terms or the holidays)

Name of Pupil *

Pupil date of birth *

YYYY

Form (at current school/college) *

Age *

Gender *

Female

Male

Other:

Email address *

Reason for stay *

Dates *

Number of nights *

Course *

Christmas Holiday Programme 2022: rest, relaxation & good food. Dates available to book: Saturday 17th December 2022 to Sunday 8th January 2023

Name & contact details of your school nurse *

We will contact the school nurse to obtain your medical record

Dietary requirements *

Declaration please sign *

Upon signing, you give your consent for your child/ward to stay at the Lions centre for the above period, under the guidance of St. George's Guardians (https://stg-guardians.co.uk/). Therefore this forms a contract of agreement with the Lions centre.

Parent email address *

Guardian email address *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms