TEENAGE BOOKING FORM – SUMMER 2017

Child’s Name

Address

School Attending

Age of Child

Parent’s Email

Parent’s Telphone No.

Parent’s Mobile

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IRISH SUMMER COURSE:

Please provide details of
any medical information pertaining to
your child including allergies:

Name of the person who
will collect your child

(Payment is accepted by cash/cheque and bank details. Please click here for – cheques should be made payable to Anne Ruane)

Please return completed booking form and fee to the address given below: or you can submit your registration online and pay via the bank details above.

Anne Ruane, Columbus Club, 30 Lower Lesson Street, Dublin 2.Tel:Anne 087-416 7740 Email:anne@columbusclub.ie Web:www.columbusclub.ie