Apply for a place on an Lymington Rushmore holiday

By filling in this form you are applying for a place on a Lymington Rushmore Holiday. Due to demand for space, we will need to get back to you to confirm whether or not your application has been successful and to arrange payment.

This form is for those who are still at school. Students please click here.
Please note that Lymington Rushmore will normally only accept applications from those at schools with which we have existing links.

We will store your and your child's data and use it for the safe and effective running of our holidays. For a full explanation see below.

Application details

Has your child been on an Lymington Rushmore holiday before? *

yes no

Holiday *

Easter Revision Week 1 2023 (25-31 Mar 2023)
Easter Revision Week 2 2023 (31 Mar-6 Apr 2023)

Junior Week 1 2023 (9-15 Jul 2023)
Junior Week 2 2023 (16-22 Jul 2023)
Junior Week 3 2023 (23-29 Jul 2023)
Junior Week 4 2023 (30 Jul-5 Aug 2023)

Senior Week 1 2023 (9-15 Jul 2023)
Senior Week 2 2023 (16-22 Jul 2023)
Senior Week 3 2023 (23-29 Jul 2023)
Senior Week 4 2023 (30 Jul-5 Aug 2023)

Bookings are usually only accepted for the whole of a holiday/event.
Please tick here to confirm that your child will be staying for the whole holiday
Otherwise, please contact the office.

Parent's details

Parent's title *

Parent's firstname *

Parent's surname *

Parent's email *

Parent's mobile *

Home telephone number *

If this is your child's first visit, how did you hear of us?

Address1 *

Address2

Address3

Town

County

Postcode *

Child's details

Firstname *

Surname *

Date of birth *

Month

Day

Year

Gender *

Female Male

School *

School year *

Is there a specific friend or friends your child would like to share a room with on the holiday?
(We will try to meet requests, but cannot guarantee to do so. Many come without specific friends and soon make them!)

Limited bursaries are available for those who otherwise feel they would not be able to attend. Please contact the office for further details.

We retain the right to refuse any application.

We take looking after your information seriously. We will store it securely, use it for the safe running of our holidays and will keep the information for as long as we are required to do so and as set out in our Privacy Notice (see link below). We will share relevant sections of this information with Titus Trust staff, volunteer leaders, support teams and activity providers to be able to run safe and effective holidays. We won’t share the information with anyone else outside the Titus Trust unless required by law or as set out in our privacy notice. For further information, see our Privacy Notice.

12 Lime Tree Mews, 2 Lime Walk,
Oxford OX3 7DZ

admin@lymingtonrushmore.org
01865 761 538

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