Year 5 & 6 Football Club

£61.50

After school club Football Club Thursdays 3.15pm – 4.45pm – 10 week block booking
Please fill and send form below before proceeding to checkout 

Product Description

 

Your child’s place is not secured until the form is completed and payment has been made

    Gender (required)
    MaleFemale

    Select Ethnicity
    White/ White BritishBlack/ Black BritishAsian BritishMixed/ Mixed BritishOther

    Does your child have any known health conditions or injuries that may be brought on by sport or exercise?
    YesNo

    Does your child suffer from any allergies or conditions that require medication?
    YesNo

    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

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