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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

Summer Camp Form 2022

Sign Up Online for our Summer Camp

Book Now. Our Summer Camp runs from Monday 20th June - Friday 5th August 2022.

Limited Places!

Summer Camp Registration

The registration fee is €55 per child. Please fill one form per person.

Child's First Name

Age

Date of Birth

School

Class

Which camp would you like to register for?

Emergency Number & Contact Person

Child's Last Name

Child's Gender

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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