Summer Camp Form 2014 St Michaels College Junior School
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1
2St. Michael’s College Summer Camp Application Form
Please complete one form per family
STUDENT NAME
CLASS (School Year Just Completed)
St. Michael’s College
1.____________ _______ ____ ____ __
______________
Weeks Attending
Morning Supervision
TOTAL FEE
(€8 per hour or part thereof)
Junior School
Junior School
Wk1___ (€100) & Early Morning supervision
T___ W___ T___ F___
_______
Wk2___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Wk3___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Wk4___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
All four weeks (€410)
M___ T___ W___ T___ F___
_______
2.____________ _______ ____ ____ __
______________
Weeks Attending
Morning Supervision
TOTAL FEE
(€8 per hour or part thereof)
Wk1___ (€100) & Early Morning supervision
T___ W___ T___ F___
_______
Wk2___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Wk3___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Wk4___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
All four weeks (€410)
M___ T___ W___ T___ F___
_______
1.____________ _______ ____ ____ __
______________
Weeks Attending
Morning Supervision
TOTAL FEE
(€8 per hour or part thereof)
Wk1___ (€100) & Early Morning supervision
T___ W___ T___ F___
_______
Wk2___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Wk3___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Wk4___ (€120) & Early Morning supervision
M___ T___ W___ T___ F___
_______
Summer Camp 2014
All four weeks (€410)
M___ T___ W___ T___ F___
_______
If your child has any medical condition please include these details with your application
Parent’s signature: ______________________________
•
Forms should be returned by St. Michael’s students to their class teacher or by non
St. Michael’s students to: Summer Camp, St. Michael’s College Junior School, Ailesbury
Road, Dublin 4
•
Please provide full parental contact details (address, mobile numbers, work numbers etc)
if the student is not a current student of St. Michael’s College Junior School.
Terms & Conditions
1. Places can be secured on receipt of competed form and full payment. 2. Places will be filled on a first come first served basis. 3. Parent /
Guardian must sign application form. 4. All medical conditions must be clearly stated on the application form. 5. The school building will be
opened at 8am each morning and prepaid supervision will begin then. 6. St.Michael’s College will not be responsible for children outside of
Opening Evening Wednesday 14
th
May 7pm-8.30pm
the hours of 8am – 3.30pm. 7. All valuable items must be left at home. 8. St.Michael’s College reserves the right to expel any participant from
the camp if their behaviour is deemed disruptive or dangerous to themselves or other camp participants.
All welcome to hear about Preschool, Junior School and Rang lan Ghaeilge
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