SUMMER CAMP BOOKING FORM 2016


PART 1: PARTICIPANT DETAILS

(please complete for individual booking, see below for group bookings)

Young Person’s Details

Number of children: (*)
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First Name: (*)
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Last Name: (*)
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Date of birth: (*)
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Age:
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Parent/Guardian Details

First Name: (*)
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Last Name: (*)
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Home Address: (*)
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Parent’s Mobile:
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Parent’s Email:
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Emergency Contact Name and Phone (must be different to above):
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Gender: (*)
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PART 2: DATE REQUESTED

(Please select the dates you wish to register for)

Select dates: (*)
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PART 3: OTHER INFORMATION

1. Has the young person any special requirements/disability/allergy that we should know about?
Please, select:
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If YES, please, enter your requirements:
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2. Have you/your organisation participated in an ECO-UNESCO event in the past?
Please, select:
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If YES, please, specify which course/event:
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3. How did you hear about our training programmes? (Please tick the options that apply)
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4. Are you/ your organisation a member of ECO-UNESCO?
Please, select:
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If not, would you like to become a member?
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PART 4: PAYMENT INFORMATION

ECO-Explorer Kids Camp:
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PART 5: TERMS & CONDITIONS

Booking and Payment: Your place will be reserved only when a signed booking form has been received by post or email. Your place will be confirmed when full payment is received. Full payment is due 5 working days prior to course commencement. We cannot guarantee your place unless payment has been received. We will accept a written cancellation of confirmed bookings up to 3 days before course commencement. However, fees will not be reimbursed if written notice is not received. Cancellation fee applies.

Data Protection and Privacy: We will not share your details with any third party with the exception of FETAC if appropriate. Your details will be maintained within our participant files and we may contact you in the future about other ECO-UNESCO services. All participants are signed up to our monthly e-bulletin newsletter. You may unsubscribe at any time.

Policy on the use of photographs and video: ECO-UNESCO may use images and/or video from our activities for publications, promotional purposes and FETAC award requirements. The signature of a parent or guardian is required for young people under 18 years of age. You can sign on behalf of your group/ school/ organisation if you have previously collected parental permission. By signing on behalf of your group/ school/ organisation you are confirming you have parental permission.

Medical Assistance: By signing this form, you are authorising ECO-UNESCO to undertake appropriate first aid assistance in case of injury, accident or medical emergency.

PART 6: PARTICIPANT AGREEMENT

I understand and accept all the Terms and Conditions of this contract.

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PART 7: PARENT/GUARDIAN AGREEMENT

(if participant is under 18 years of age)

I understand and accept all the Terms and Conditions of this contract.

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