Activ8 Summer Junior Camp Grange Castle registration form 2021

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Please fill in one form per child attending summer camp. After submitting details successfully please proceed to payment to secure your child's place.

Email *

Main details

We are delighted the Activ8 Grange Castle Summer camp is back for summer 2021 and is running at St. John The Evangelist N.S and Adamstown Community Centre (next door to the school) for 5 weeks from Monday 5th July to Friday 6th August 2021 from 9am-3pm each day. We are delighted to announce we have the extra outdoor space available to best ensure safety for all.

Week 1 (Monday 5th July- Friday 9th July)
Week 2 (Monday 12th July- Friday 16th July)
Week 3 (Monday 19th July- Friday 23rd July)
Week 4 (Monday 26th July- Friday 30th July)
Week 5 (Tuesday 3rd Aug- Friday 6th Aug **No camp on Bank Holiday Mon 2nd Aug**)

We are so delighted with the great success of last year's camp despite all the challenges presented by Covid. We are proud to announce that we had zero cases reported on camp and would like to thank the hard working team at Pfizer Grangecastle for their determination and commitment to make sure the summer camps could run for all parents and children again.

We're so excited to see all the children again for another action packed and fun summer. We are committed to making it a very special, fun and safe camp for all involved.

We look forward to see you all soon.

Child's Name and Surname (one child per form) *

Pfizer Employee Name (Main camp contact): *

Pfizer Employee Number: *

Child's age on 5th July 2021 *

Weeks attending camp this year.

There is no limit of the amount of weeks children can attend camp this year. We have secured additional space in Adamstown Community Centre Camp to best ensure safety for all. Places will be allocated on a first come first serve basis. Places are limited each week so book early to secure your preferred weeks.

Tick all weeks your child is attending Summer Camp. There is no limit on weeks attending camp this year. *

Week 1 (Monday 5th July- Friday 9th July)

Week 2 (Monday 12th July- Friday 16tt July)

Week 3 (Monday 19th July- Friday 23rd July)

Week 4 (Monday 26th August- Friday 30th July)

Week 5*** (Tuesday 3rd Aug- Friday 6th Aug **No camp on Bank Holiday Mon 2nd Aug**)

Required

Parent/ Guardian contact details.

Parent/ Guardian (Employee and main contact) Email address: *

Main Contact phone number *

Secondary contact Name: *

Secondary contact Number: *

Secondary contact relationship to child: *

Medical conditions: (you can give more detail in medical section) *

Allergies: *

Name of Sibling(s) on the camp

Any other important information we should know:

Authorised Pick up:

Please include details for any authorised pick up other than parent/ guardian

Name:

Phone number:

Relationship to child

Medical Form:

***PLEASE NOTE: WE ARE A FULLY INCLUSIVE CAMP***It is our aim to cater for all children. In order for us to do this, and in the best interest of each child, we require parents to give us details in advance, of any additional needs or special requirements that their child may have. The more details you can give us here, the better we can ensure your child's safety and enjoyment while attending Activ8 Camp

Please tick if any of the following apply to your child: *

Tick if your child currently under a physician’s care

Tick if your child suffers from asthma

Tick if your child is suffering from Diabetes

Tick if your child has any allergies we should be aware of

Tick if your child is currently taking medication

Tick if there is any medical, physical or psychological conditions of which camp staff should be aware of?

Tick if NO to all of the above

Required

If you ticked any of the medical conditions above. Please give more information.

Does your child have access to an SNA in school? *

Yes

If your child has SNA access at school, please give us more information as to your child's needs. (So that we can best support them while on camp)

If you have any concern about an underlying medical condition of your child in the light of Covid-19, please seek the advice of a medical professional.

I understand that I am responsible to discuss any concerns about an underlying medical condition with my doctor before sending my child to Activ8 Camp *

Yes

Not relevant (my child has no underlying condition relevant to Covid-19)

Family Doctor Name: *

Family Doctor Phone Number: *

Parental/ Guardian consent

Photo/ video consent. Permission to be photographed/ video recorded while in attendance at Grange Castle Activ8 Camp. Media files may appear on Class Dojo for daily parental communications, the roundup weekly parental online newsletter, on www.activ8camp.com or on Pfizer's internal on-site media to promote future camps. *

Yes

Accident & Emergency Consent Form: I give permission to the personnel of the Activ8 Camp managed Pfizer camp to act on my behalf in case of emergency or accident and to take such action as may be necessary for the benefit of my child. This decision is to be taken by the designated person in charge at the time of the emergency. *

Yes

Carnival Day Activities

During this year's summer camp there will be no day trips outside of camp due to Covid- 19 restrictions. Each week we will bring the day trip to the camp and have an Carnival fun day on site in Adamstown. Inflatable activties may possibly be part of the day pending Covid insurance confirmation. Please confirm your child can participate on the inflatable activities if they take place.

Permission to participate in possible inflatable activities *

Yes

Please note you must fill out one form per child attending. After submitting the details successfully please continue to payment to confirm your place. Please remember to add the stripe handling fee if paying by card payment option.Thank you.

A copy of your responses will be emailed to the address you provided.

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