Group Booking Form

Group name:      

Session Start Date:   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 June July August

Date of Birth:   

Gender:      Male    Female  

Nationality:  

DIETARY REQUIREMENTS

Yes No

If 'Yes' please provide details below

MEDICAL CONDITIONS & ALLERGIES

Does your child have any known allergies?

 Yes    No  

Does your child have any medical conditions?

 Yes    No  

Does your child take any medication?

 Yes    No  

If 'Yes' please provide details below

Family name First name

Telephone Numbers

Country Code:
Mobile: Home: Work:

I confirm the following: I am the parent or legal representative of the above named Camper. The above named Camper can comfortably swim unaided for 50m. I give my permission for representatives of International Camp Suisse to authorise medical treatment for the above named Camper in the event of an emergency. I have carefully read the booking terms and conditions.
Your name
I have read and understood the terms and conditions



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