Summer Holiday Camp 2024 for 8-12 Years Old

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)

Price

	Rate	Quantity	Total
Week (5 days)
Day
Early morning (start at 8:30)
Late afternoon (finish at 4:30)
		Total

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.