West Didsbury - Autumn Term 2

Sports:*

Monday - Football - Yrs 5 & 6Tuesday - Dodgeball - Yrs 3 - 6Wednesday - Dance - Yrs 1 & 2Wednesday - Girls Football - Yrs 3 - 6Wednesday - Cricket - Yrs 3 - 6Thursday - Dodgeball - Yrs 1 & 2Friday - Basketball - Yrs 3 - 6Friday - Multi Sports - Yrs 1 & 2

Childs School Year:*

Name*

First NameLast Name

Date of Birth:*

Date

Medical Conditions:*

YesNo

If YES, please specify:

Disabilities:*

YesNo

If YES, please specify:

Name of Parent/Gaurdian:*

First NameLast Name

Relationship to Participant:*

Email:*

example@example.com

Emergency Contact 1:*

Emergency Contact 2:*

Email*

example@example.com

Occasionally, Prestige Sports Programmes may take pictures for marketing purposes. By ticking the box you agree to permit Prestige Sports Programmes to take and publish images of your child (if parent/guardian).

Yes, I give my consentNo, I do not give my consent

After School Club's (If you are paying with Childcare Vouchers, please select that box ONLY). *

Football - Yrs 5 & 6 - Monday6 weeks (Subject to VAT)

£36.00 Quantity

Dodgeball - Key Stage 2 - Tuesday 7 weeks (Subject to VAT)

£42.00

Dance - Yrs Rec, 1 & 2 - Wednesday7 weeks (Subject to VAT)

£42.00

Girls Football - Key Stage 2 - Wednesday 7 weeks (Subject to VAT)

£42.00

Cricket - Key Stage 2 - Wednesday 7 weeks (Subject to VAT)

£42.00

Dodgeball - Key Stage 1 - Thursday 7 weeks (Subject to VAT)

£42.00

Basketball - Key Stage 2 - Friday 7 weeks (Subject to VAT)

£42.00

Multi Sports - Yrs Rec, 1 & 2 - Friday7 weeks (Subject to VAT)

£42.00

Childcare Vouchers Please select this box ONLY if you are paying with Childcare vouchers (Subject to VAT)

£ Free

Subtotal

£0.00

Tax

£0.00

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Childcare Voucher Provider (If not applicable put n/a):*

West Didsbury - After School Clubs

Dates: 04.11.25 - 19.12.25