Halloween Disco Booking Form

Halloween Disco Booking Form

Saturday 24 October 2026, 4:30pm–6:30pm. Open to members and non-members. Please complete payment before submitting your booking. Activities include free play, games, party food and drinks, chocolate fountain, and a prize for the best costume. Website: www.peacockgymnastics.com. Email: flipping@peacockgymnastics.com. Please note the booking limit of 5 children per parent booking.
Parent / Guardian Details
First Name
Surname
Email Address
example@example.com
Mobile Telephone Number
2nd Emergency Contact Name
2nd Emergency Contact Telephone Number
Relationship to Child/Children
How many children are you booking?
Child 1 Details
Child 1 First Name
Child 1 Surname
Child 1 Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Is this child currently a Peacock Gymnastics member?
Child 1 medical conditions, allergies, dietary requirements, medication, disabilities, behavioural needs, or anything else staff need to know
Child 1 Photo/Video Consent (declining consent does not affect attendance)
Child 2 Details
Child 2 First Name
Child 2 Surname
Child 2 Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Is Child 2 currently a Peacock Gymnastics member?
Child 2 medical conditions, allergies, dietary requirements, medication, disabilities, behavioural needs, or anything else staff need to know
Type None if not applicable.
Child 2 Photo/Video Consent
Child 3 Details
Child 3 First Name
Child 3 Surname
Child 3 Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Is Child 3 currently a Peacock Gymnastics member?
Child 3 medical conditions, allergies, dietary requirements, medication, disabilities, behavioural needs, or anything else staff need to know
Type None if not applicable.
Child 3 Photo/Video Consent
Child 4 Details
Child 4 First Name
Child 4 Surname
Child 4 Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Is Child 4 currently a Peacock Gymnastics member?
Child 4 medical conditions, allergies, dietary requirements, medication, disabilities, behavioural needs, or anything else staff need to know
Type None if not applicable.
Child 4 Photo/Video Consent
Child 5 Details
Child 5 First Name
Child 5 Surname
Child 5 Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Is Child 5 currently a Peacock Gymnastics member?
Child 5 medical conditions, allergies, dietary requirements, medication, disabilities, behavioural needs, or anything else staff need to know
Type None if not applicable.
Child 5 Photo/Video Consent
Booking Summary, Pricing and Payment
Payment must be made before submitting this form. Bookings cannot be processed without payment.

Account Name: Peacock Gymnastics Academy

Sort Code: 04-00-03 | Account Number: 99947119

Payment Reference: Child’s Initials + Disco e.g. ASmithDisco

Please pay the exact total shown on this form.
Halloween Disco Tickets
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Current Peacock Member Disco Ticket
£10.00 per child

£10.00 Quantity

Non-Member Disco Ticket
£15.00 per child

£15.00 Quantity

Total

£0.00
Should be Empty:

Halloween Disco Booking Form

Parent / Guardian Details

Child 1 Details

Child 2 Details

Child 3 Details

Child 4 Details

Child 5 Details

Booking Summary, Pricing and Payment

Halloween Disco Tickets*

Halloween Disco Tickets