Information about your child

Surname

Child's first name(s)

Is your child MaleFemale

Date of birth

School year group

Age at start of Superweek

Home address

Postcode

School

Is this his/her 1st Superweek? YesNo

If you don’t mind saying it helps us to know your child’s ethnic background.

Ethnic background AsianBritishCaribbeanOther European

Ethnic background - other

Where did you hear about ATE?

Please choose Presentation at schoolFamily or FriendsThe PressGoogle sponsored linkSearch engineSummerFun4KidsChildcare link websiteSummer-schools.infoShambles.netOther (enter below)

Other source

Parent’s / legal guardian’s details

Full name

Relation to child

Address (if different from childs)

Postcode

Daytime telephone number

Evening telephone number

Mobile

Email

Booking accompanied travel

I would like accompanied travel from Please select ...BirminghamBristolCardiffChesterfieldCoventryDerbyLiverpoolLondonManchesterMilton KeynesNewcastleOxfordSheffieldStokeWorcesterYorkOther (enter below) by CarUndecided

Other - enter preferred nearest town in the box below

Other - preferred nearest town

Payment

I will send payment by Cheque Bank transfer * Paypal **

*Account: ATE, Account Number: 00019188, Sort Code: 40-52-40

**surcharges: £2.50 with deposit, £5.00 with full payment

Please make cheques payable to ATE and send to the office at: 8 St. Ann’s Road, Malvern, Worcs, WR14 4RG.

Payment from outside UK: Please ensure you pay any bank charges so the full deposit amount/ holiday cost in GBP is received into ATE’s bank account. Thank you.

We will hold a place booked online for ten working days.

Superweek Code

Discount Code NoneSiblingReturnerOther£100 July Discount

IMPORTANT: if you are paying by cheque, bank transfer or Paypal please enter the Superweek code