Experiential Science Booking Form
7th - 12th June 2026
Name of young person
First Name
Last Name
How do they identify? (gender pronouns)
What age will they be at the start of the programme?
Name of parent or carer (this will also be the next of kin/emergency contact when on Hill Tribe)
First Name
Last Name
Relationship to young person
Parent/carer Email
example@example.com
Parent/carer mobile phone number
-
Area Code
Phone Number
Dietary requirements
Does your young person have any physical or mental health conditions or particular learning needs that we need to be aware of?
Is there any other information that you feel would be supportive to share with us?
How did you hear about this programme?
Programme
Newsletter
Yes, subscribe me to the On The Hill mailing list.
Submit
Payment Options for Experiential Science
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( X )
25% Deposit Exp Science (4 payments = £380)
We will be in touch to arrange further payments in instalments
£
95.00
Quantity
1
2
3
4
5
6
7
8
9
10
25% Deposit Exp Science for Sibling (50%) (4 payments = £190)
We will be in touch to arrange further payments in instalments
£
47.50
Quantity
1
2
3
4
5
6
7
8
9
10
Payment in full
per young person
£
380.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment in full for Siblings (50%)
per sibling
£
190.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Should be Empty: