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ORPINGTON HOLIDAY CLUB
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BOOKING FORM - OCTOBER 2019
*
Indicates required field
Parent's Name
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First
Last
First name and last name of parent organising Summer Camp
Email
*
Email address
Phone Number
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Phone number
Address
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Line 1
Line 2
City
State
Zip Code
Country
Address where children will be staying during Summer Camp
Child 1 - name and date of birth
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Name of child and age when attending Summer Camp, or date of birth
child 2 - name and date of birth
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Name of child and age when attending Summer Camp, or date of birth
child 3 - name and date of birth
*
Name of child and age when attending Summer Camp, or date of birth
Dates to Book - please advise the dates you want to book and if this is full day, half day AM or half day PM
*
Allergies or Additional Information
*
Any other information
Submit