CHURCHILL SUMMER CAMPS BOOKING FORM 2015

KARNAK HOUSE, SECOND DRIFT, WOTHORPE, STAMFORD PE9 3JH TEL. 01780 753461 Email:

NAME OF CHILD/CHILDREN
FIRST NAME SURNAME / SEX
M/F / DATE OF BIRTH / SCHOOL
1
2
3
4

**PLEASE PROVIDE AT LEAST 2 CONTACT PHONE NUMBERS BELOW**

NAME OF PARENT/GUARDIAN
ADDRESS
POSTCODE
TEL: HOME TEL: WORK
MOBILE NO. E MAIL:
MEDICAL DETAILS
DOCTOR/SURGERY ADDRESS
ADDITIONAL DETAILS eg.EYFS info/targets,special diet, non swimmer, friends/groupings, ethnicity etc

I agree that my child/children may go off-site to any extra activities booked (swimming at Peterborough). I agree to any medications that I provide to staff being administered as per the doctor’s and/or my instructions. The date, time and quantity will be recorded when given. I also agree to allow staff to seek emergency medical treatment or advice should it be deemed necessary whilst my child/children are in the camp’s care

SIGNATURE______DATE______

BOOKING CONDITIONS

1 Confirmation of your booking will follow after receipt of your booking form and payment. Payment of the deposit is regarded as evidence of your acceptance of these booking conditions.

2 We require :

a. Full payment for bookings made less than 6 weeks before camp start date and Day Tasters bookings.

b.A deposit of £63 per child per week on all other bookings and the final balance payment 6 weeks prior to the camp start date.

C. Payment in full on any booking made less than 6 weeks before camp start date

3 Should it become necessary to cancel your booking, you must notify us in writing immediately. Until written confirmation is received by us, we will hold your reservation. Cancellations are subject to the following charges:

More than 28 days before commencement date – loss of deposit 28 – 15 days – 60% of total cost

14 – 1 day – 100% of total cost

4 No liability will be accepted for personal injury or fatality nor for any damage or loss to personal property unless caused by the proven negligence of Churchill Summer Camp employees and/or agents acting within the course of their employment or the scope of their authority.

5 Programmes are subject to alteration, cancellation or re-arrangement in the event of unsuitable weather conditions, an unsatisfactory level of numbers, or other factors which may arise which are beyond our reasonable control.

6 We reserve the right to exclude or refuse any child at any time prior to, and during the holiday, if in our opinion that child is incompatible with the general ‘well-being’ of the camp. Any additional costs as a result of such exclusion/refusal, including transportation home will be at the parents‘expense and responsibility and no refund will be made.

THE PETERBOROUGH SCHOOL / 2015
COST / required / STAMFORD JUNIOR SCHOOL / 2015
COST / required / BROOKE PRIORY SCHOOL, OAKHAM / 2015
COST / required
16 –20FEBRUARY (PHF) / £151 / *Easter Stamford High School
30 MARCH – 2 APRIL (PHA) / £124 / 30 MARCH – 2 APRIL (STE) / £124
7– 10 APRIL (PHB) / £124 / All summer weeks at
26 – 29 MAY (PHM) / £124 / Stamford Junior School
6 – 10 JULY (PH1) / £151 / 6 – 10 JULY (ST1) / £151
13 – 17 JULY (PH2) / £151 / 13 – 17 JULY (ST2) / £151
20 – 24 JULY (PH3) / £151 / 20 – 24 JULY (ST3) / £151 / 20 – 24 JULY (OM1) / £151
27 - 31 JULY (PH4) / £151 / 27 - 31 JULY (ST4) / £151 / 27 - 31 JULY (OM2) / £151
3 – 7 AUGUST (PH5) / £151 / 3 – 7 AUGUST (ST5) / £151
10 – 14 AUGUST (PH6) / £151 / 10 – 14 AUGUST (ST6) / £151
17 – 21 AUGUST(ST7) / £151
EARLY CARE 8am – 9am / £3 per
session / M / T / W / T / F / EARLY CARE 8am – 9am / £3per
session / M / T / W / T / F / EARLY CARE 8am – 9am / £3per
session / M / T / W / T / F
LATE CARE 4.40pm – 6pm / £5 per
session / LATE CARE 4.40pm – 6pm / £5per session / LATE CARE 4.40pm – 6pm / £5per session
  • STAMFORD EASTER CAMP WILL BE HELD AT THE STAMFORD HIGH SCHOOL DUE TO BUILDING WORK TAKING PLACE AT THE JUNIOR SCHOOL

  • I enclose a cheque for £______Cheques made payable to‘Churchill Summer Camps’
  • I am paying £______directly to Churchill Summer Camps Sort code 40 43 05 Account number 81441558 Ref.CHILD’S SURNAME & CAMP REF.
  • I authorise you to debit my credit/debit card account with £______AND MY FINAL BALANCE NO SOONER THAN THE REQUIRED DATE YES / NO(please delete)
Please note that there is a £2 charge per CREDIT CARD transaction. Please add this to your payment amount.
Card no. ______Expiry date ______Security no. (3 digits)______
  • I am paying £______using Childcare vouchers Please contact us if you require further information regarding this method of payment

  • ALL BOOKINGS REQUIRE A DEPOSIT OF £63PER WEEK PER CHILD(WITH THE BALANCE PAYABLE 6 WEEKS BEFORE THE CAMP START DATE)UNLESS
  • BOOKING MADE LESS THAN 6 WEEKS BEFORE CAMP START DATE REQUIRE PAYMENT IN FULL
  • CONFIRMATION OF YOUR BOOKING WILL BE FORWARDED ON RECEIPT OF PAYMENT

PLEASE RETURN COMPLETED FORMS TO: CHURCHILL SUMMER CAMPS, KARNAK HOUSE, SECOND DRIFT, WOTHORPE, STAMFORD. PE9 3JH