Camp Sign Up Form
Please fill out this form to book your child onto camp.
Child's Date of Birth
Please select the day/s that you would like to book on:
Tuesday 4th April 2017
Emergency Phone Number
Home Phone Number
Mobile Phone Number
Medical Conditions / Disabilities/ SEN
Some of our activities may include food, please list below any allergies your child has.
If your child doesn't have allergies please write "None" in the box.
Do you give photo and video consent?
(Photos and Videos may be used on promotional materials such as the website, social media, flyers, posters, banners or local press associated with Lindsey Pollard Dance.)
Please select the relevant box.
You will receive an email to confirm your booking - if you do not receive this after 24 hours of submitting your form please contact us.
Payment is due no later than Monday 27th March and can made via Cash, Cheque (Please make payable to L.POLLARD) or Bank Transfer (Please contact Lindsey for bank details if you wish to make payment via this method)
You will need to provide your child with a nut free packed lunch on the day.
*Please note that refunds will not be issued if you cancel your space once booking has closed*
Yes I understand and agree
Do Not Fill This Out