Activity Day and IQ Sport Camps Booking form

• Surname
• Forename
• Middle Initial
• Gender -- Please Choose Female Male
• Date of Birth
• Age
• School Year Group
• Current School
• Do you consider your child to have a disability? -- Please Choose No Yes
• What is the nature of this?
• Does your child suffer from a medical condition? -- Please Choose No Yes
• Please state the condition and medication used
• Doctor's name and address
• My child has the following special dietary requirements

• Surname
• Forename
• Middle Initial
• Gender -- Please Choose Female Male
• Date of Birth
• Age
• School Year Group
• Current School
• Do you consider your child to have a disability? -- Please Choose No Yes
• What is the nature of this?
• Does your child suffer from a medical condition? -- Please Choose No Yes
• Please state the condition and medication used
• Doctor's name and address
• My child has the following special dietary requirements

• Surname
• Forename
• Middle Initial
• Gender -- Please Choose Female Male
• Date of Birth
• Age
• School Year Group
• Current School
• Do you consider your child to have a disability? -- Please Choose No Yes
• What is the nature of this?
• Does your child suffer from a medical condition? -- Please Choose No Yes
• Please state the condition and medication used
• Doctor's name and address
• My child has the following special dietary requirements

• Contact 1
• Full Name
• Tel No
• Mobile No
• Postal Address
• Postcode
• Email
•  
• Contact 2
• Full Name
• Tel No
• Mobile No
• Email
•  
• Collection Arrangements: Who is authorised to collect you child?
• Other emergency names and telephone numbers
• I agree to my child being taken to the hospital or to be seen by the nearest doctor should an emergency arise:Type parent/guardian name to agree:
•  Photographs and video recordings may be taken on the course by the press or for promotional/marketing material by Bromsgrove School. However, if you do not wish photographs to be taken of your children, please tick this box and make sure your child is aware that they should not be photographed.
• How did you hear about our courses? -- Please Choose Website Newspaper Social Media Search Engine Other

Our Activity Day Camps take place at Bromsgrove School, and the IQ Sports Camps are based at Winterfold School.

A 50% refund will only be made two weeks prior to the booked activity, after this time no refund will be given for cancellation of a place.

For all enquiries, please email activities@bromsgrove-school.co.uk.

In order for Bromsgrove School and Winterfold School to retain and use your data, please agree to the statement below:

I / We understand that the personal data submitted will be processed for the legitimate business of Bromsgrove School and Winterfold School managing the activity day and IQ Sports Camps process. I / We understand that this information will be held until such time as the above-named child is no longer of an age to apply for a place on our Activity Day or IQ Sports Camp, or until I / we request that our personal data no longer be retained. I / We agree to Bromsgrove School and Winterfold School keeping in touch about activity camp-related information (future camps and events) and news about, and activities on offer, from Bromsgrove School and Winterfold School. Bromsgrove School will never sell your data and we promise to keep your details safe and secure. You can change your mind at any time by emailing activities@bromsgrove-school.co.uk. For further details on how your data is used and stored please visit: www.bromsgrove-school.co.uk and www.winterfoldhouse.co.uk

Please choose 'I Agree':

I have read and accept the terms and conditions