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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 Registration Form

Camp Registration

Child's First Name

Child's Last Name

Email

Parent/ Guardian Phone

Date of Birth

Child's Gender

School

School Year in September

Address

Emergency Number & Contact Person

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.

Hit the submit button to go to the Summercamp store and choose what camps you want your Child to take part in!

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

© 2019 Citywise Education - Registered Charity: No. CHY17653 | Privacy Policy | Policies & Audited Accounts | Complaints & Suggestions | Contact Us | Phone: 01 404 9736

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