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?
My Products
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Deposit
per young person
£
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Deposit for Sibling (50%)
per sibling paying full price
£
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Test
£
1.00
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
Programme
Newsletter
Yes, subscribe me to the On The Hill mailing list.
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