Consent Form *= Compulsory
Date of Booking*……………………………
Name of Parent/Guardian* ………………………………………........................................................................................
Address of Parent/Guardian* (print)………………………………........................................................................................
……………………………………………………………………………………………………………………………………………………
Post Code/zip*………………....................................……
Telephone*(Area Code)………………………/………………………………………………………
Name of Child Booking at Summerville *………………………………………….......................................................................…………………
Age*………/......................./..................
Your Comments if any
Please note a Bond of £10 per Child (16/17) is required on Arrival (in case of excess noise and/or Damage) refundable on departure after room (s) inspection.
Child Signature* …………………………………… .................................................................
Parent/Guardian Signature* ……………………..........… ........................................................................
Print out fill in Sign Signatures and Send/Produce on Arrival