Summer Camps booking page - Mill on the Brue Outdoor Activity Centre

Summer Camp Booking Page

Adding New Camper

First name *

Surname *

Date of birth *

Gender *

Number of times attended MOTB before *

English speaking *

Coming from Overseas

Past Group Name(s)

Child's Swimming Ability

Siblings or Friends also attending

Dietary Restrictions (e.g vegan, allergies)

Medical Details

National Health Number (UK Only)

Anti-Tetanus Vaccination Date

Any medical conditions or further helpful information.
Please mention any bedwetting.

I undertake to inform you should my child come into contact with any infectious disease within 3 weeks of the holiday/trip.

I agree to medical and dental treatment being given to my child if required, including the administration of a general anaesthetic and to surgical operations in the case of emergency, in accordance with the recommendations of a qualified medical practitioner, and to Mill on the Brue staff administering non-prescription drugs, eg Paracetemol, Calpol, Asprin, etc, for minor ailments.

I certify that I have informed Mill on the Brue Ltd of any allergy, weakness or complaint in my child, and will hand over any medicines to be taken by my child to a representative of Mill on the Brue Ltd.

All overseas children MUST bring their medical card with them.

Parent details

Full Name *

Email Address*

Address (Line 1) *

Address (Line 2)

Town/City *

County/Region

Postcode/Zip Code *

Country *

Please enter at least two different phone numbers below to enable us to contact you.

Mobile Phone *

Daytime Phone

Evening Phone

Occasionally Mill on the Brue Limited takes photographs of persons staying at the Centre for publicity purposes. If you prefer your child to not be included in photographs, please select No.

Allow Photographs?

Summer Camp Booking Page

Your Campers

Adding New Camper

All overseas children MUST bring their medical card with them.

Newsletter sign up... stay connected