RainChild Water
Activity Camp Summer 2012
Sponsored
by Leitrim Development Company and Keadue’s annual pony drive
Free for autistic child / teen and one sibling. Age 6 to
16.
Additional
sibling places may be booked and paid for depending on numbers at a subsidised
cost.
Sunday 12
August 2012 and Sunday 19 2012 and
Sunday 26 August 2012
11am to 4pm
In Lough Allen Adventure, Ballinaglera, Co
Leitrim.
Activities include Kayaking, Sailing,
Archery, and sail away to Burger-Bay for a camp fire bar-b-q lunch. Qualified carers and instructors will
supervise all activities. Wear old clothes. BRING TOWELS, WATER SHOES (crocs /
old trainers) & A PACKED LUNCH.
Please return this form to Catherine
Beirne, Lustia, Drumshanbo, Co Leitrim. (0719640555) or cathbeirne@gmail.com
Tick
12/8/2012 [ ] 19/08/2012 [ ] 26/08/2012
[ ]
Autistic Child’s name: Age: Date
of birth:
Sibling name: Age: Date of birth:
Parent/ guardian name:
Mobile number: Home number: Email:
Address:
Please give a few details about his / her
autism / health issues:
GP name and surgery address:
ALL BUOYANCY AIDS AND EQUIPMENT WILL BE PROVIDED. Please tick here if you do NOT consent to pictures
taken during the camp being used by RainChild [ ]
