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1st Child Details Please put this child in Thank You Important

Please make sure you have completed ALL details for every child you would like to apply for before clicking the Submit button. We will thoroughly check all the information you have submitted and if necessary will contact you if we require further details.

By submitting this form you confirm that you have read and understood the Terms & Conditions for SciTech: 17 and agree to abide by them.

3rd Child Details 4th Child Details 2nd Child Details MINI Select Course this child would like to attend.* You can only select one course. How  many children are you applying for:-* ST16 Terms and Conditions.pdf MAIN as This can be arranged at a later time if  you prefer.

First Name*

Date of birth*

Sex*

School*

Has this child ever been to any SciTech Holiday Schools before?*

Select Size of Polo Shirt*

Same Group

Different Group

Name

Notes

Week 1: July 31st -  August 4th

Week 2: August 7th - 11th

Week 1: July 31st - August 4th

Week 2: August 7th - 11th

Early/Late Club

5 and 6 year olds 7-12 year olds

Title*

First Name*

Last Name*

Address*

Contact Tel:*

Postcode:*

Email* Address

This can be arranged at a later time if  you prefer. This can be arranged at a later time if  you prefer. This can be arranged at a later time if  you prefer.

Name for ID Badge

Last Name*

Any

Please put this child in MINI Select Course this child would like to attend.* You can only select one course. MAIN as

First Name*

Date of birth*

Sex*

School*

Has this child ever been to any SciTech Holiday Schools before?*

Select Size of Polo Shirt*

Same Group

Different Group

Name

Notes

Week 1: July 31st -  August 4th

Week 2: August 7th - 11th

Week 1: July 31st - August 4th

Week 2: August 7th - 11th

Early/Late Club

5 and 6 year olds 7-12 year olds

Name for ID Badge

Last Name*

Any

Please put this child in MINI Select Course this child would like to attend.* You can only select one course. MAIN as

First Name*

Date of birth*

Sex*

School*

Has this child ever been to any SciTech Holiday Schools before?*

Select Size of Polo Shirt*

Same Group

Different Group

Name

Notes

Week 1: July 31st -  August 4th

Week 2: August 7th - 11th

Week 1: July 31st - August 4th

Week 2: August 7th - 11th

Early/Late Club

5 and 6 year olds 7-12 year olds

Name for ID Badge

Last Name*

Any

Please put this child in MINI Select Course this child would like to attend.* You can only select one course. MAIN as

First Name*

Date of birth*

Sex*

School*

Has this child ever been to any SciTech Holiday Schools before?*

Select Size of Polo Shirt*

Same Group

Different Group

Name

Notes

Week 1: July 31st -  August 4th

Week 2: August 7th - 11th

Week 1: July 31st - August 4th

Week 2: August 7th - 11th

Early/Late Club

5 and 6 year olds 7-12 year olds

Name for ID Badge

Last Name*

Any

Parent/Guardian Details Holiday Schools

Because  the SciTech Holiday Schools are very popular, we are advising parents/guardians to apply for places as soon as possible and so avoid disappointment. We will need to check the accuracy of the booking information and the availability of places before the booking can be made. You are not able to book directly online but you can apply online for places and later, if you choose, you will be able to pay online after we have confirmed your application.

Complete the form below to apply for SciTech: 17 giving us your details (Parent/Guardian) and the details of each child who wishes to attend and the course they wish to take part in. Submit the form and we will respond promptly.

To apply for a MINI SciTech place, your child must be aged 5 or 6 at the start of the course (21th July 2017). To apply for a MAIN SciTech place, your child must be between 7 and 12 yrs old at the start of the course. Course Grouping and age limits Fields marked * must be completed

If you are applying for more than one Child please complete additional Child Details i.e. 2nd Child Details, 3rd Child Details etc

All Courses cost £245.00 per child per course.

Children in MAIN SciTech will be allocated to a group for the whole one week course. Each group is intended to have a balance of age and ability. When you apply for a place for your child, you can request for them to be placed with siblings or friends (or not, as the case may be!) and we will do our best to accommodate this.

If you would like this child to be in the same group as a sibling or friend, (or not as the case may be) you can let us know by selecting the appropriate button and filling in the name of that person. We will make every effort to fulfil this request where possible subject to the groupings.

Name for ID Badge

Please tell us the name this child is known by if different from their First Name e.g. Their First Name may be JOHN but they prefer being called JONNY.

Notes

Please let us know of any concerns or conditions this child may have that you consider we should be aware of.