Parents Full Name
*
First Name
Last Name
Emergency Contact Number
*
Format: 00000 000000.
Parent E-mail Address
*
Name of person collecting child
*
First Name
Last Name
Cost: £30 per day (per child)
Player 1 Full Name
*
First Name
Last Name
Player 1 Date of Birth
*
-
Day
-
Month
Year
Date
Player 1 School Year
*
Please Select
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Player 2 Full Name (if applicable)
First Name
Last Name
Player 2 Date of Birth (If applicable)
-
Day
-
Month
Year
Date
Player 2 School Year
Please Select
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Please provide any additional information that may be needed by the coaches including any medical or allergy details:
Please input name (s) below as it appears on your debit card:
I consent to photos and video being taken of my child for marketing purposes:
*
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PLAYER 1 - TUES 27th MAY
£
30.00
PLAYER 2 - TUES 27th MAY
£
30.00
PLAYER 1 - WEDS 28th MAY
£
30.00
PLAYER 2 - WEDS 28th MAY
£
30.00
PLAYER 1 - THURS 28th MAY
£
30.00
PLAYER 2 - THURS 28th MAY
£
30.00
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