Elite Sports Coaching

ON LINE BOOKING.

Child’s First name

Child’s Last Name

Year Group

Date of Birth

Name of Child’s School

Full Name of Parent or Guardian

Email address

Postal Address

Post Code

Landline number

Mobile number

Emergency number

Which Sport

Rugby **

Monday all day

Tuesday all day

Wednesday all day

Hockey **

Monday

Tuesday a.m.

Netball **

Tuesday p.m.

Wednesday all day

Does you child have a medical condition

If yes please explain

Is it okay for your child to have their picture taken for our website and to lp advertise future events?

How did you hear of us?

Other information you would like to add

I have read and agree to the Terms & Conditions

Please enter the text as shown above

Please send cheques payable to Elite Sports for full amount to:

Elite Sport
"Eastlyn"
Rushmere Lane
Orchard Leigh
Chesham
HP5 3QY

(please write your child’s name on rear of cheque)

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