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Summer Camp 2010 Booking Form: Rates 2010 10% reduction for two or more children
One Child:	€55.00
Two Children:	€99.00
Three Children:	€148.50

Remember 5-7 year olds   10.00-12.30 each day. Remember 8-12 year olds   14.00-16.30 each day. We will not divulge your details to a third party under any circumstances. You will be re-directed to PayPal for payment on completion of this form.

Camp Location and Date: * Required	Please Select Boyle Scoil na Naingeal Naofa July 12th-15th Carrick on Shannon Marist Girls N.S. July 19th-22nd Roscommon Town Abbey N.S. Aug 9th-12th Sligo Town Scoil Ursula N.S. Aug 16th-19th
Parent/Guardian Name: * Required
Address:
Town and County:
Telephone: * Required
Email: * Required
Contact telephone during camp:
Person collecting child from camp:
1st Child Full Name:
Age: (5-7 year 10AM) (8-12 year 2PM)
School:
Special Health or other relevant information:
2nd Child Full Name:
Age: (5-7 year 10AM) (8-12 year 2PM)
School:
Special Health or other relevant information:
3rd Child Full Name:
Age: (5-7 year 10AM) (8-12 year 2PM)
School:
Special Health or other relevant information:
Message Details:
If you have any additional information you feel may be of relevance to us please use our message pad below:
Security Check Type characters as shown in the box below. Enter Code: * Required
After submitting the form you will be taken to Payment page. You will be given and option to pay for either 1, 2 or 3 children. You do not need an PayPal account to make a payment. PayPal also accept Visa, MasterCard, American Express and 3V If you do not wish to pay by credit card, cheques can be made payable to ScienceMania and sent to Nance Hayden ScienceMania Silver Birches Drum Boyle Co Roscommon