Child's Name Address School Attending Age of Child Parent's Email Parent's Telphone No. Parent's Mobile Conatct Name and Number in case of Emergency WEEK1: 06/4/20 - 09/4/20 WEEK 2: 14/4/19 - 17/4/20 CAMP 1: ARTS & SPORTS CAMP CAMP 2: MULTI-SPORTS & FITNESS CAMP CAMP 3: LEGO / CHESS / SCIENCE / SPORTS CAMP CAMP 4: : BAKING / SEWING / KNITTING CAMP CAMP 5: ANIMATION & ART CAMP CAMP 6: : STEM CAMP: SCIENCE / COMPUTER CODING / ENGINEERING & MATHS CLASSES: PLEASE PLACE TICK IN BOX READING COMPREHENSION WORK HANDWRITING MATHS Medical Information: Name of Person to Collect Child Payment is accepted by cash/cheque and bank details shown below: Account Name: Anne Ruane Columbus Club Account Number: 00597297 National Sort Code: 93-12-92 IBAN: IE69 AIBK 9312 9200 5972 97 BIC: AIBKIE2D Bank: AIB Ranelagh, 40/42 Ranelagh, D6. Submit Please enable JavaScript for this form to work.