Wrekin Summer Camps 2024

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Fill out this form to sign your child up for any of our Summer Camps.

Email *

Which camp would you like to book? *

Netball Camp: Monday 22nd July - Tuesday 23rd July (Inclusive) (Years 5/6/7/8)

Netball Camp: Wednesday 24th July - Masterclass Day (Years 9/10/11)

Science Camp: Thursday 25th July - Friday 26th July (inclusive) (Years5/6/7/8)

Cricket Camp: Monday 29th July - Tuesday 30th July (Inclusive) (Years 5/6/7/8)

Art Camp: Wednesday 31st July - Friday 2nd August (Inclusive) (Years 5/6/7/8/9)

Dance Camp: Monday 5th August - Tuesday 6th August (Inclusive) (Years 5/6)

Required

Child's Full Name *

Child's Date of Birth *

YYYY

Current School *

Child's Address and Postcode *

T-shirt size *

Does your child have any allergies or medical conditions? *

Please state the nature of your child's medical conditions and whether preventative medication is required

Is there anything else we need to know about your child?

Please state any special dietary requirements

Parent/Guardian's Full Name *

Parent/Guardian's Address and Postcode *

Parent/Guardian's Email Address *

Parent/Guardian's Home Telephone Number *

Parent/Guardian's Work Telephone Number
*

Parent/Guardian's Mobile Number *

Emergency Contact 1 - Name and Telephone Number *

Relationship to Child *

Emergency Contact 2 - Name and Telephone Number
*

Relationship to Child *

Photography: I give permission for photographs of the above named child taken to be taken throughout the day at Wrekin Summer Camps to be used for marketing purposes including, but not limited to, the Wrekin Old Hall Website, social media and future promotional materials. *

Indemnity and Release: I acknowledge that there are inherent dangers associated with these courses which may result in the child being injured. To the extent permitted by law, I agree on behalf of the child and in my own right to absolve and indemnify the Program Coordinator, Coaches, Practitioners and Wrekin College from and and all liability for injury, loss or damage however caused arising out of the child's participation. I agree both on behalf of my child and in my own right to release and forever discharge the Program Coordinator, Coaches, Practitioners and Wrekin College from all claims that I or the child may have or may have had but for this release arising from the child's participation. I authorise the Program Co-coordinators to arrange medical or hospital treatment (including, without limitation, ambulance transportation if I am not available to do so and I indemnify the Program Coordinator, Coaches, Practitioners and Wrekin College for all costs associated. I authorise the Program Coordinator, Coaches, or Practitioners to obtain immediate ambulance, medical, dental or hospital attention should it be required. I/we understand that I/we will be informed as soon as possible after the event. I/we understand that in the first instance the person shown as the Emergency Contact Person will be contacted. I have read, understood, acknowledge and agree to the above declaration including the warning, release and indemnity. *

I agree

Required

Parent/Guardian's Signature *

Date *

YYYY

Method of Payment (You will receive a follow up email regarding making your payment) *

Bank Transfer

Cheque

Required

How did you find out about our Summer Camps? *

Please select from the following options to give your consent to receive further communications from us *

I am happy to recieve further communications

I would prefer to not receive further communications

Required

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