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Citywise Education provides young people with after-school and

out-of-school educational support

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Book Afterschool

Fast Track Form

Easter Camp Form 2023

Sign Up Online for our Easter Camp

Book Now. Our Easter Camp runs from Tuesday 11th April - Friday 14th April 2023.

Limited Places!

Easter Camp Registration

The registration fee is €50 per child. Please fill one form per person.

Child's First Name

Age

Child's Gender

Date of Birth

School

Class

Emergency Number & Contact Person

Child's Last Name

Email

Parent/Guardian Phone

Address

Are there any medical facts we need to know about your child?

PARENTAL CONSENT: I give permission for my child to attend this camp, and for photographs, images and video of them to be taken, to be used for promotional purposes in future.

Thanks for submitting!

Durkan Centre, Fortunestown Way, Jobstown, Dublin 24, D24 W284

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