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Wexford - St. Leonard's - St. Leonard's Halloween Camp 2024

Parent/Guardian's Information

Name:*

Surname:*

Email:*

Phone Number:*

Emergency Contact:*

Alternate Phone No (Optional)

No of Children

The maximum number of children possible for a single booking is 4. Discount only applies to siblings.

First Name*

Last Name*

Date of Birth (Minimum age 5 years of age and maximum age of 14 years)*

Please tick this box if you consent to us taking photographs/videos of your child at camp for use on Teaching Tekkers social media, on this website or for future Teaching Tekkers promotional materials.

Permission for Photo and/or Videography *

Yes

Medical Information

Does your child have any medical needs or special requirements?

Yes

Medical Information*

Additional Information

Payment Detail

€80.00/each

Total Amount (€80.00 x 0 Child)

€0

Sibling Discount

€0

Service Charges

€0

Payable Amount

€0

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