Registration form Summer Holiday Camp 2023

Please complete a separate registration form for each child.

Child's details

Picture

Your file must be a .jpg or .png and can't exceed 2mb.

First name

Last name

Gender

Date of birth

Age

School attended

Grade

Level of French
BeginnerIntermediateFluent

Address

Postcode

City

Please tick the appropriate boxes regarding the publication of pictures of your child :
publication on restricted access platforms (such as WhatsApp parents’ group, Dropbox…) for the use of parents onlypublication on DOUCE FRANCE LONDON’s website and social medianone of the above

The photographs / videos will not be communicated to other persons, nor sold, nor used for any other purpose than those mentioned above. The publication or distribution of the child's image must not infringe on their dignity, privacy or reputation. In accordance with the law, free access to the photographic data concerning the child is guaranteed. Parents/guardians will be able to verify at any time the use made of it and will have the right to withdraw the images / videos if they consider it useful.

Parent/Guardian's details

Contact 1

Name

Relationship to child

Phone

E-mail

Contact 2

Name

Relationship to child

Phone

E-mail

Select week(s) or day(s)

Week from July 10th to July 14th
Whole weekMondayTuesdayWednesdayThursdayFriday

Week from July 17th to July 21st
Whole weekMondayTuesdayWednesdayThursdayFriday

Week from July 24th to July 28th
Whole weekMondayTuesdayWednesdayThursdayFriday

Week from July 31st to August 4th
Whole weekMondayTuesdayWednesdayThursdayFriday

Price

	Rate	Quantity
Week
Day
Early morning (start at 8:30)
Late afternoon (finish at 4:30)
Sibling discount	-10% (if applicable)	Sibling Discount
		Total

Payable in two parts, 50% on returning the registration form and 50% before June 25th.

Bank details Douce France
London Ltd
Account number: 74920227
Sort code: 04-00-75
Bank / Payment institution: Revolut Ltd

No refund for cancellations less than two weeks before the beginning of the camp.

Medical information

Please indicate any health information/behaviour issues that would be beneficial for staff to know when working
with your child:

Allergies

Regular medications

Restricted activities

Special needs? If yes, please describe below:

Name and phone number(s) of person(s) other than parents allowed to pick up your child:

1. Name:

Phone:

Proof of identity will be asked. Any special instructions must be attached to this
application and discussed personally with the camp director. All information will be kept confidential.

I declare that the above information is correct and that I have read and accepted the terms and conditions of Douce France London Ltd.