Application Form

FW    = Full Week
LC     = Late Collection
NOC = Number of Children

 
  M T W T F FW LC NOC
Wk 1   -  
Wk 2
Wk 3
Wk 4
*PLEASE NOTE* Week 1 is a 4DAYCOURSE costing £80.00

 
  M T W T F FW LC NOC
Wk 1    
Wk 2
Wk 3
Wk 4
  

 
  M T W T F FW LC NOC
Wk 1  
  



  M T W T F FW LC NOC
Wk 1
Wk 2
    
Now available to buy, please tick
   • Shin pads               £5.00
   • Cap                          £5.00
   • Sports bag              £5.00
   • Extra T-shirt            £5.00
Full week @ £100.00
£30.00 per day
Late collection facility £12.50 per week (not avaliable on Friday)
Total spent £0

* Child 1 Full Name * Age * DOB * Boy * Girl

* Address1 
  Address2     * Postcode
  Email                        
Parent/Guardian contact telephone numbers:-
* (Home)    
  (Work)     
* (Mobile)   
* School your child attends:
* Please state any medical conditions that the Coaches should be made aware of regarding your child
* If your child is required to carry an Epi Pen, please enclose written permission for a member of staff to administer the Epi Pen in the case of an emergency
* Date: D M Y
* If you do not wish to receive any information containing promotional material in future please tick
* If you do not wish your children's photograph to be used in future brochure/promotional material, please tick

Website for easy online booking and payment - www.Sport4Choice.net

 

© Sport4Choice.net Ltd - Company No. 5589330
432 Welford Road, Leicester LE2 4EL
Email: info@sport4choice.net
Tim Gascoigne - 07970 837 503 • Phil Nicholson - 07974 383 022

© 2010 Sport4Choice Ltd. Designed and Maintained by Hongjun.co.uk