Wychwood Inspires Summer School
Booking Form
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STEAM: Cracking the Code
Age: 12-15
£
300.00
Dates
22nd July - 26th July 2024
Rowing
With Hinksey Sculling School Age: 11 - 16
£
300.00
Dates
15th July - 19th July 2024
Please select your Course (only one course per booking):
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Parent/Guardian Details
Name
*
First Name
Last Name
Email Address
*
Relationship to Child
*
Please Select
Parent
Guardian
Carer
Other (please detail)
Other:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main Daytime Phone Number
*
Please enter a valid phone number.
Emergency Contact Phone Number
*
Please enter a valid phone number.
Additional Phone Number (optional)
Please enter a valid phone number.
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Child Details
Please note we can only accept one child per booking. To book more than one child please complete a separate booking.
Name
*
First Name
Last Name
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
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19
20
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26
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31
Day
Please select a year
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Year
Child's sex at birth (only required for residential courses)
Female
Male
Preferred Pronouns:
He/Him
She/Her
They/Them
Does your child have any medical conditions or requirements we will need to be aware of?
*
Please provide as much information as possible
Will your child be bringing medication with them?
*
No
Yes
If "Yes" please give details of medication and administration
Does your child have any known allergies?
No
Yes
If "yes" please give details including the allergen(s), symptoms and any medication (e.g. adrenaline autoinjector (EpiPen) or Piriton)?
Does your child have any behavioural or special educational need that we would need to be aware of?
If "yes" please provide further information
Child's First Language
*
English Language Level:
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First Language
A1 Elementary
A2 Lower Intermediate
B1 Intermediate
B2 Upper Intermediate
C1 Advanced
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How did you find out about our summer courses?
*
I am a parent/guardian of a Wychwood Pupil
Wychwood School Website
Wychwood Weekly
School Instagram Account
LinkedIn
Banner Advertisement outside the school
Facebook/Instagram advert
Oxfordshire Living Magazine
Oxford Mail Advert
Other
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Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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