£41.50
After school club: Hall games Tuesday 3.15pm – 4.15pm – 10 week block booking
Please fill and send form below before proceeding to checkout
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Child Name (required)
Club (required)
Class and Year (required)
Age (required)
Post-Code (required)
Gender (required) MaleFemale
Select Ethnicity White/ White BritishBlack/ Black BritishAsian BritishMixed/ Mixed BritishOther
Specific Other:
Does your child have any known health conditions or injuries that may be brought on by sport or exercise? YesNo
If yes please state:
Does your child suffer from any allergies or conditions that require medication? YesNo
If yes please state allergy / condition and medication used:
Is there a special designated person at St Charles that administers this? YesNo
Does your child self administer E.G Asthma Pump? YesNo
Do we have permission to take pictures / record to help with fundraising and reporting to the funders or for promotional material YesNo
Emergency contact Name: (required)
Emergency contact Phone Number: (required)
Your Email (required)
Please tick this box if we can send you information and marketing relating to our clubs and activities
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