Summer Camp 2022

Days Attending

Tuesday 30th AugustWednesday 31st AugustThursday 1st SeptemberPlease tick which day/s your child is attending

Child's Full Name

First and Surname

Child's Date of Birth

Parent's Full Name

First and Surname

Parent's Email Address

Parent's Telephone Number

EMERGENCY CONTACT DETAILS

Emergency Contact Name

Relationship to Child

ie Auntie, Grandparent etc

Emergency Contact Telephone Number

2nd Emergency Contact Name

Relationship to Child

ie Auntie, Grandparent etc

2nd Emergency Contact Telephone Number

Doctor's Details

Please advise 1. Dr's Name 2. Surgery Name 3. Surgery Telephone Number

Please advise of allergies, or any other medical information that may be relevant

Please advise of any educational needs or access requirements

First Aid Permission

YesI agree to my child being given first aid treatment by qualified staff on or off the premises, and where necessary to be taken to hospital in an emergency. If I am not contactable, I agreed to my child being given hospital treatment without me being present.

Photo/Video Consent

YesNo
I am aware that photos and videos of my child may be taken and used for Radlett Reform publicity, social media, and the website, and give consent for their use in this way

You must complete a form for each child individually.

Payment can be made with a debit/credit card.

Radlett Reform Members Daily Price £35 / Early Bird £30
Non Members Daily Price £40 / Early Bird £35
Radlett Reform Members All 3 Days £100 / Early Bird £85
Non Members All 3 Days £115 Early Bird £100
** Early Bird Closes 21st July

Siblings receive a £2 discount per day when booking your first child at full price.

Please complete the form and pay for the first child at full price, and then complete the form again and tick the sibling discount box for any extra siblings.

Cancellation Policy

Cancellations that come in 2 weeks prior to the day camp starting will be issued a full refund or option for credits for future schemes or camps. No refunds will be given for cancellations within 2 weeks of camp unless the participant has an injury, illness and can provide a note from their doctor, as well as providing a signed statement from the parent or legal guardian confirming that this note is genuine and based upon the opinion of a medical professional. (If you are able to satisfy these 2 requirements then a full refund will be issued or acceptance of credits for future schemes or camps).

If a cancellation is initiated by Radlett Reform/Government restrictions due to Covid-19 will result in a full refund or choice of credits for future camp or schemes. To discuss further email youthadmin@radlettreform.org.uk.

	Member - 1 Day £35.00
	Member Sibling - 1 Day £33.00
	Member - 2 Day £70.00
	Member Sibling - 2 Day £66.00
	Member - All 3 Days £100.00
	Member Sibling - All 3 Days £94.00
	Non-Member - 1 Day £40.00
	Non-Member Sibling - 1 Day £38.00
	Non Member - 2 Days £80.00
	Non-Member Sibling - 2 Days £76.00
	Non Member - All 3 Days £115.00
	Non-Member Sibling - All 3 Days £109.00
	Days Attending Tuesday 30th AugustWednesday 31st AugustThursday 1st SeptemberPlease tick which day/s your child is attending Child's Full Name First and Surname Child's Date of Birth Parent's Full Name First and Surname Parent's Email Address Parent's Telephone Number EMERGENCY CONTACT DETAILS Emergency Contact Name Relationship to Child ie Auntie, Grandparent etc Emergency Contact Telephone Number 2nd Emergency Contact Name Relationship to Child ie Auntie, Grandparent etc 2nd Emergency Contact Telephone Number Doctor's Details Please advise 1. Dr's Name 2. Surgery Name 3. Surgery Telephone Number Please advise of allergies, or any other medical information that may be relevant Please advise of any educational needs or access requirements First Aid Permission YesI agree to my child being given first aid treatment by qualified staff on or off the premises, and where necessary to be taken to hospital in an emergency. If I am not contactable, I agreed to my child being given hospital treatment without me being present. Photo/Video Consent YesNo I am aware that photos and videos of my child may be taken and used for Radlett Reform publicity, social media, and the website, and give consent for their use in this way You must complete a form for each child individually. Payment can be made with a debit/credit card. Radlett Reform Members Daily Price £35 / Early Bird £30 Non Members Daily Price £40 / Early Bird £35 Radlett Reform Members All 3 Days £100 / Early Bird £85 Non Members All 3 Days £115 Early Bird £100 Early Bird Closes 21st July Siblings receive a £2 discount per day when booking your first child at full price. Please complete the form and pay for the first child at full price, and then complete the form again and tick the sibling discount box for any extra siblings. Cancellation Policy** Cancellations that come in 2 weeks prior to the day camp starting will be issued a full refund or option for credits for future schemes or camps. No refunds will be given for cancellations within 2 weeks of camp unless the participant has an injury, illness and can provide a note from their doctor, as well as providing a signed statement from the parent or legal guardian confirming that this note is genuine and based upon the opinion of a medical professional. (If you are able to satisfy these 2 requirements then a full refund will be issued or acceptance of credits for future schemes or camps). If a cancellation is initiated by Radlett Reform/Government restrictions due to Covid-19 will result in a full refund or choice of credits for future camp or schemes. To discuss further email youthadmin@radlettreform.org.uk.
Total	£

Upcoming Sessions

1. Tuesday, 30 August, 2022 • 3 Elul 5782

2. Wednesday, 31 August, 2022 • 4 Elul 5782

3. Thursday, 1 September, 2022 • 5 Elul 5782

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