Friday Elite Football Academy Booking Form 2023/2024

Our Coaches are all level 1, 2 & 3 (UEFA A & B) accredited and are Paediatric First Aid trained and have completed a Child Protection Workshop.

Sessions consist of a warm up, skills & drills and football matches.

Medals are rewarded for star performers of the term.

Please bring with you plenty of fluid, a healthy snack, appropriate footwear and plenty of enthusiasm.

Boys and Girls aged 6-13 are welcome regardless of footballing ability and experience.

Please call 07746 945 903 for more information, otherwise book online now..
Every Friday

Summer 1 Dates: 3rd May - 31st May (5 weeks) - £50

Summer 2 Dates: 7th June - 12th July (6 weeks) - £60

Full Summer Term - 3rd May - 12th July (11 weeks) - £110

(Please note there is no session during the Half Term)

Open to boys & girls age Year 6 to 13 years

ONLY 32 SPACES AVAILABLE

*Prizes, trophies, medals, and certificate to be won*

(This session runs from 5pm - 6pm)

Please note: The coaches will always aim to be at the school 15 minutes before every session starts. Our session are on the school site. Registers are emailed to the school office which are then passed on to your child's teachers.
I will like to book Summer 1:

3rd May - 31st May (6 weeks) - £60
I will like to book Summer 2 Dates:

7th June - 12th July (6 weeks) - £60
I will like to book for the full Summer Term:

3rd May - 12th July (11 weeks) - £110
Child's Name:*

First NameLast Name
Child's D.O.B:*

DayMonthYear
Date
Child's Age:*
Child's Age
Child's School:*
Name of your child's school
Child's Favourite Team(s):*
Favourite Teams(s)
Does You Child Have Any Football Experience?:*

YesNo
Medical Condition(s) and / or SEN?:*

YesNo
Details Of Medical Condition(s) and / or SEN:*
For example: Hay fever, Asthma
Parent/Guardian Name (1):*

First NameLast Name
Parent/Guardian Name (2):*

First NameLast Name
Parent/Guardian E-mail:*
example@example.com
Emergency contact 1:*
Mobile number
Emergency contact 2:*
Phone number 2
Parent/Guardian Full Address:*

Street Address

Street Address Line 2

CityCounty

Postcode
Collected By:*
Name of the person collecting your child
Relationship To Child:*
What is their relationship to your child
Security Password:*
Choose a security password of your choice that'll be used if somebody else collects your child
Grand Total:
Payment Method:

Bank Transfer - Please follow the instructions belowChildcare vouchers (please select your provider below)
Childcare Provider:

CO OP - 85116843EDEN RED - P20733006KIDDIVOUCHERS - 100418CARE4 - 18475662BUSYBEES - XTRA TIME KIDZ CLUB - HolywellCOMPUTERSHARE - 0020197568RG CHILDCARE - 97926708410FIDELITI - XTR001CFAIRCARE - XTHO0218TAX FREE CHILDCARE SCHEME - Holywell Ofsted No: EY444153ENJOY BENEFITS - WD18 9QDSODEXO - 850954OTHER - Please provide details in additional comments box below
Please make your booking payment in full to the account below:

It is soley the parent/carers responsibilty to make the booking payment in full. If your child's payment has not been made in full to the account specified above, we cannot secure your child's booking.

Once you have made your payment in full, please include your payment reference and payment date below.
ALL PAYMENTS MUST ONLY BE PAID INTO THE ACCOUNTS LISTED ABOVE AS EACH XTRA TIME SERVICE HAS ITS OWN SPECIFIED ACCOUNT. THIS HELPS US TO ALLOCATE YOUR PAYMENT. IF YOUR PAYING BY CHILDCARE VOUCHERS AND YOUR PROVIDER IS NOT LISTED ABOVE PLEASE CONTACT US.
Payment Reference:*
Payment Date:*

MonthDayYear
Date
CHILDCARE VOUCHER PAYMENTS MUST BE PAID IN FULL ON THE DATE YOUR BOOKING FORM IS SUBMITTED. THE EXACT PAYMENT AMOUNT ON YOUR BOOKING FORM MUST BE MADE IN FULL, USING THE REFERENCE BELOW. IF THIS PROCESS IS NOT FOLLOWED YOU WILL NOT HAVE SECURED YOUR CHILD'S BOOKING, AND YOUR CHILD WILL NOT BE ABLE TO ATTEND THE CLUB.
Additional Comments:*
Any additional information you would like to tell us? (For example: SEN, Toilet issues, Behaviour issues, etc)
Did you know we do Birthday Parties?

Is your child's birthday within the next 3 months? We are offering an exclusive £25 off Birthday Party Bookings to all existing customers. Visit our Birthday Party Form by clicking here and a member of our team will be in touch with you.
Did you know we do Private One-to-One / Group Tuition?

Would you be interested in a variety of Private One-to-One / Group Tuition for you or your child? Focusing on upskilling, mental health, well being, weight loss, confidence and more. Visit our Private 1-to-1 / Group Tuition Booking Form by clicking here and a member of our team will be in touch with you.
Thank you for completing our online booking form. Please tick and sign below to receive a booking confirmation via email.
Do you give consent to Xtra Time Kidz Club to take pictures or videos of your child which will ONLY be used for marketing purposes (Social media platforms, www.xtratime.co.uk, flyers and other advertising purposes)?*

YesNo
I understand that I am not allowed to interfere with the coaching session or encroach on to the pitch whilst the coaches are delivering their sessions. I understand I am not allowed to take pictures or make videos of my child during the session to ensure the safety of all children and coaches.*

Yes
Signature*

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Once the submit button has been clicked your booking is being processed. Please do not click the submit button more than once.
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