:: Action Adventure Holidays ::

Parent/Guardian Personal Contact Details: Please Note: This information is vital as it will document your Primary details for emergency and routine contact; please complete all information in block capitals.

ABOUT YOU * Required Fields

Title

Initials

Surname

Your relationship to the child/children

Address:

Post code*:

Daytime Tel:

Evening Tel:

Mobile Tel

Fax No:

Email Address*

Emergency Tel No. if different from above:


Child & Day Camp Details
Info for Each Child	CHILD 1	CHILD 2	CHILD 3	CHILD 4
First Name:
Name Preferred at Camp:
Surname:
Sex:
Date of Birth:
Age on Arrival at Camp:
Which School Attended

Weeks and Dates
Camp Week:
Second Camp Week
Easter Week 1 Commencing Date:
Summer Week 2 Commencing Date:
Summer Week 3 Commencing Date:
Summer 1 & 3 Day Pass State Dates
NOTE: All day passed are subject to availabilityand deposits must be paid


PAYMENT DETAILS £60 DEPOSIT PER CHILD
	CHILD 1	CHILD 2	CHILD 3	CHILD 4
Evening Activities £12.50 per child	Yes No	Yes No	Yes No	Yes No
Overnight Camp (8+) £15 per child	Yes No	Yes No	Yes No	Yes No
Evening BBQ & Disco £15per child	Yes No	Yes No	Yes No	Yes No
OFFER: Book all three activities above for any one child at a cost of £25 GROUP/MULTIPLE BOOKINGS DISCOUNTS OFFERED : SEE BROCHURE OR RING


T-Shirt - £12 per item (Small / Med / Large)
Birthday Cake £15 Name of Child:	Yes No	Yes No	Yes No	Yes No

I, who is the Parent/Guardian of the child/children named above have read and accept the Booking Conditions. By payment of the deposit: I confirm our acceptance of these booking conditions and understand that all accounts must be fully paid before camp the balance being due at least 4 weeks of camp start date. Following receipt of my deposit AAHLtd will send an information pack and Medical consent form, which I will complete and return.

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