GTS Summer Programme
Booking Form 2013
Name of Child.............................................................. Age.....................
D.O.B ............................
School..........................................................................
Parent/Carer...........................................................................................................................
Email address………………………………………………………………………………
Telephone (home).................................................... In an Emergency ......................................
Medical Condition (if any)..........................................................................................................
Doctor..........................................................................................................................................
Courses I would like to book are (please add codes here):
……………………………..
…………………………………
……………………………..
…………………………………
……………………………..
…………………………………
………………………………
....................................................
………………………………
………………………………….
………………………………
…………………………………..
a) I have read the information about the proposed activity
b) I authorise the organiser to act on my behalf
c) I understand that Great Torrington School will not be liable for any loss, injury or
damage suffered, other than such as may be caused by negligence of Great Torrington School or
their employees.
I give permission for my child to take part in the Summer Programme being held at Great
Torrington School between Monday 5
th
August and Friday 30
th
August 2013.
Signature ......................................................................................................................................
Relationship to pupil ................................................... Date: ...................................................
Please return booking form to:
Adrian Avery (
, Great Torrington School, Calvesford Road,
Torrington, Devon EX38 7DJ. (Payment cannot be taken over the phone!)
For more information contact: Adrian Avery (Monday 29
th
July – Fri 9
th
Aug) or Ian
Cockwill (between 12
th
Aug & 30
th
Aug) on 01805 623531 ext 240 during working hours,
9
am-4pm only.
Please fill in your email address above. This year, in an attempt to save paper and time, we
will not be sending confirmation letters, however we will confirm your place either by email
or telephone.
&
Dates
DE
COUNTY
Course Code/s
&