Junior Pathway Program

Name of Child*

First NameLast Name
Name of Parent

First NameLast Name
Parent Email*
example@example.com
Parent Mobile Number*
Please enter a valid mobile number.
Age of Child
The use of video analysis is required during coaching, please sign to confirm you consent for pictures and videos can be taken.

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£20.00 fee to attend the trial on Saturday 14th December
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