Doncaster Town CC, DN2 6AA - Camp 1 - Complete Coaching Solutions

Please choose which day(s) your child would like to attend*

Monday 30th May

Tuesday 31st May

Wednesday 1st June

Number of Days

Price:

Full name of child*

Gender*

Date of birth*

School year*

Name of school attended*

Home postcode*

Does your child have any medical conditions we need to be aware of?*

Yes

No

Please provide more details*

Does your child have any dietary requirements we need to be aware of?*

Yes

No

Please provide more details*

Are you happy for your child to be photographed/videoed taking part in the camp activities?*

Yes

No

Full name of emergency contact*

Relationship to child*

Phone*

Email*

Full name of emergency contact*

Relationship to child*

Phone*

Email*

Total Cost

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Email

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