First Name                               Surname               M/F   Date of birth   Camp see refs below
        
        
        

Which school does the child/ren attend? 
 
Name of Parent / Guardian     
 
Address and Email  


 
Postcode     Home telephone
 
Work telephone       Mobile

 Extra information e.g. medical details, special diet, ethnicity, non swimmer, friends to be grouped with etc

 I enclose a deposit of £60 per week per child
I authorise you to debit my Visa/Access card account with   £ 

and the final balance as shown on my invoice            YES  /  NO

Card No        CCV No Expiry

We have found it necessary to introduce a £2 fee for all payments by credit card. Please add this to your total amount. 

Please note that this is not a secure site for credit card transactions and we advise you to either post your booking or email your booking/phone your credit card details in separately.

We are unfortunately unable to offer an electronic method of forwarding booking forms - please post or email bookings to our office as detailed below. 
WE ACCEPT PAYMENT BY CHILDCARE VOUCHERS - PLEASE CONTACT US FOR FURTHER DETAILS
You can also download a Word version of the Booking Form at the top of this page!

Please make all cheques payable to 'Churchill Summer Camps' and send to Churchill Summer Camps, Karnak House, Second Drift, Wothorpe, Stamford, PE9 3JH

Phone 01780 753461 or e-mail info@churchillsummercamps.co.uk