Activ8 Summer Teenage Camp Grange Castle registration form 2022

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

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 that Activ8 Summer camp is back for summer 2022 and is running at St. John The Evangelist N.S and Adamstown Community Centre (next door to the school) for 2 weeks from Monday 11th July until Friday 22nd July 2022 from 8:30am-4pm each day.

We are so happy with the great success of our first ever Easter Camp and pleased to announce that we have extended our opening hours for the summer camp by 90 minutes from 2021 times with drop off available from 8:30am and the later time of 4pm for collection. We have also returned to our epic day trips each week!

The summer camp has been a great success over the past few years despite all the challenges presented by Covid. We are proud that we had only 1 recorded case reported on camp over the 2 years and would like to thank Ciara and the hard working team at Pfizer Grange Castle for their determination and commitment to make sure the camps could run for all parents and children again. Thank you to the parents and guardians for their vigilance on safety too. While the easing of restrictions is very welcome, we will continue to use best practices to best guarantee a safe experience for all involved.

The teenage camp activities and day trips will be separate to the junior camp.

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

We look forward to see you all soon.

Shaun and Pauric

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

Pfizer Employee Name (Main camp contact): *

Pfizer Employee Number: *

Child's age on 4th July 2022 *

Weeks attending camp this year.

Children can attend camp as many weeks as they wish. We change our activities, day trips and special guests to keep the camp schedule fresh and exciting for the children

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

Week 1 Teenage Camp (11th-15th July)

Week 2 Teenage Camp (18th-22nd)

Required

Child clothing size (Hoodie and T shirt): *

Size 13-14 years

Adult Small

AdulT Medium

Adult Large

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

Day trip permission:

Our weekly epic day trips return this summer!

Permission to attend our weekly day trips: These days will include travelling on a bus and will include a range of outdoor adventures activities including water, inflatable and trampoline based activities. Please confirm that you consent to your child attending these trips if they can go ahead *

Yes I consent

No I dont not consent

Permission to participate in water based activities *

yes

Can your child swim?

Yes

Clear selection

Level of swimming ability

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

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 €5 stripe handling fee if paying by card payment option.Thank you.

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

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of activ8camp.com. Report Abuse

Forms