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: £35 per day (per child)
CAMP TIMINGS: 9.30am to 3.00pm
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:
My Products
*
prev
next
( X )
PLAYER 1 - WEDS 27th MAY
£35.00
£
35.00
PLAYER 2 - WEDS 27th MAY
£35.00
£
35.00
PLAYER 1 - THUR 28th MAY
£35.00
£
35.00
PLAYER 2 - THUR 28th MAY
£35.00
£
35.00
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
I consent to photos and video being taken of my child for marketing purposes:
*
Yes
No
Submit
Should be Empty: