TNT KICC SUMMER CAMP 2024 (More Than One Teenager)

Registration

Select appropriate option * I confirm that I am the parent/guardian of the teenager(s) to whom this form relates and that I am filling this form on their behalf
I am filling this application for myself as the teenager attending the Camp and confirm that I am 18 years or above

Mother/Guardian’s Full Name *

Mother/Guardian’s Phone

Mother/Guardian’s Email *

Father/Guardian’s Full Name

Father/Guardian’s Phone

Father/Guardian’s Email

Address *

City/Town *

State/County *

Zip/Post Code *

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Ticket Type	Price	Spaces
£25 - Deposit	£25.00	0 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Teenager's First Name * Teenager's Last Name Child's Age Date Of Birth Phone Email Please list any medical needs/requirements Are you on any medication? If yes please list GP Details, Name and Address GP Phone Dietary Requirements Any Allergies- including food Do you consider yourself to have a disability or special needs? Yes No If so please state your disability or special need
£125 - 1st attendee Final Payment	£125.00	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Teenager's First Name * Teenager's Last Name Child's Age Date Of Birth Phone Email Please list any medical needs/requirements Are you on any medication? If yes please list GP Details, Name and Address GP Phone Dietary Requirements Any Allergies- including food Do you consider yourself to have a disability or special needs? Yes No If so please state your disability or special need
£105 - 2nd attendee Final Payment	£105.00	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Teenager's First Name * Teenager's Last Name Child's Age Date Of Birth Phone Email Please list any medical needs/requirements Are you on any medication? If yes please list GP Details, Name and Address GP Phone Dietary Requirements Any Allergies- including food Do you consider yourself to have a disability or special needs? Yes No If so please state your disability or special need
£105 - 3rd attendee Final Payment	£105.00	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Teenager's First Name * Teenager's Last Name Child's Age Date Of Birth Phone Email Please list any medical needs/requirements Are you on any medication? If yes please list GP Details, Name and Address GP Phone Dietary Requirements Any Allergies- including food Do you consider yourself to have a disability or special needs? Yes No If so please state your disability or special need