1-2-1 or 2-2-1 Football S&C

Football S&C

Booking form
Child Name

First NameLast Name
Birth Date

DayMonthYear
Parent Name

First NameLast Name
Parent E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postcode
Emergency contact name 1

First NameLast Name
Name(s) of collecting adult(s)
Emergency contact phone number 1

Area CodePhone Number
Emergency contact name 2

First NameLast Name
Emergency contact phone number 2

Area CodePhone Number
Any Heath conditions or allergies we should know about?
DECLARATION We teach Boxing & Self-Defence to help children build confidence, resilience, and a sense of achievement — all while having fun and making new friends!
DECLARATION
Photographs
PHOTOGRAPHS We will be taking photos and videos throughout the day for our social media and website marketing.
If you have any problems with this form, or questions you can email us on jp360fitness@gmail.com

or you can WhatsApp or message us with a screenshot of the problem on 07484348164

PRICES:

* 1-2-1 Football S&C £349 / 6weeks / 2 sessions per week.

* 2-2-1 Football S&C £575/ 6 weeks / 2 sessions per week

* Full Team S&C ( Min of 10 players ) £49per player. 4- week/ 2 sessions per week.

For payment see bank details below.

Startling bank:

My Jean-Paul Halafu-Booth

SC: 60-83-71

AC: 72584649
Should be Empty: