Summer School - KGS
Hello! 
We are very excited to see that you are interested in your child joining us for our Summer School at Kirkham Grammar School this Summer.
Please fill a form in for EACH child that will be attending summer school this year. 
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Child's Name *
Child's Age  *
Address *
Email address
Primary Emergency Contact
Name:
Relationship to child:
Phone Number:
Email Address:
Secondary  Emergency Contact
Name:
Relationship to child:
Phone Number:
Email Address:
 *
Which week would you like your child to attend? *
Selected days 
(This is for students who are doing individual days and cannot attend for the full week. If your child will be doing a full week, please select the options above)
 *
Required
PERMISSION - Photography
We will be taking photographs and short videos for use in our printed and online material. This includes, but is not limited to:
 - Fundraising
- Publicity
- Social Media
Please select the most appropriate option for you and your child below.  
 *
Required
MEDICAL INFORMATION
Please use this space below to tell us if your child has any medical needs that you feel we should be aware of which your child is with us. 
If nothing, please type N/A
 *
PAYMENT 
The total for your summer school can be worked out from the information above. This is to be paid in full upon booking to secure your child's place.
The space is only secure once the payment is received.

BANK DETAILS:
NW1
ACC: 10211681
SC: 16-30-25
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Required
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