West Didsbury - Summer Term 1

Monday - Football - Yrs 5 & 6Tuesday - Dodgeball - Yrs 3 - 6Wednesday - Dance - Rec, Yrs 1 & 2Wednesday - Girls Football - Yrs 3 - 6Thursday - Dodgeball - Yrs 1 & 2Thursday - Cricket - Yrs 3 - 6Friday - Basketball - Yrs 3 - 6Friday - Multi Sports - Rec, Yrs 1 & 2

Name*

First NameLast Name

Date of Birth:*

Date

YesNo

If YES, please specify:

YesNo

If YES, please specify:

Name of Parent/Gaurdian:*

First NameLast Name

Relationship to Participant:*

Email:*

example@example.com

Emergency Contact 1:*

Emergency Contact 2:*

Email*

example@example.com

Yes, I give my consentNo, I do not give my consent

After School Club's (If you are paying with Childcare Vouchers, please select that box ONLY). *

Football - Yrs 5 & 6 - Monday

3 weeks (Subject to VAT)

£15.00 Quantity

Dodgeball - Key Stage 2 - Tuesday

5 weeks (Subject to VAT)

£25.00

Dance - Rec, Yrs 1 & 2 - Wednesday

5 weeks (Subject to VAT)

£25.00

Girls Football - Key Stage 2 - Wednesday

5 weeks (Subject to VAT)

£25.00

Dodgeball - Key Stage 1 - Thursday

5 weeks (Subject to VAT)

£25.00

Cricket - Key Stage 2 - Thursday

5 weeks (Subject to VAT)

£25.00

Basketball - Key Stage 2 - Friday

4 weeks (Subject to VAT)

£20.00

Multi Sports - Yrs 1 & 2 - Friday

4 weeks (Subject to VAT)

£20.00

Childcare Vouchers

Please select this box ONLY if you are paying with Childcare vouchers (Subject to VAT)

£ Free

Subtotal

£0.00

Tax

£0.00

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Childcare Voucher Provider (If not applicable put n/a):*

West Didsbury - After School Clubs

Dates: 22.04.25 - 22.05.25