St Philips - After School Club
Spring Term 1
Dates: 09.01.26 - 13.02.26
Times: 3:15 - 4:15pm
The objective of PSP's friendly and qualified coaches is to deliver Sport in a; safe, fun and sociable environment. Continuously, encouraging our participant's to develop a variety of skills and techniques when participating in their chosen sport
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Friday - Football - (KS1 & 2)
Childs Name:
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First Name
Last Name
Child's School Year
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Date of Birth:
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-
Day
-
Month
Year
Date
Medical Conditons:
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Yes
No
If Yes, please specify:
Disabilities:
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Yes
No
If yes, please specify:
Parent/Carer Name:
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First Name
Last Name
Relationship to Participant:
Emergency Contact 1:
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Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact 2:
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Please enter a valid phone number.
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).
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Yes, I give my consent
No, I do not give my consent
Payment
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Friday - Football - 3:15 - 4:15pm
6 weeks
£
35.00
Childcare Vouchers
If you are making payment through Childcare Vouchers, please DO NOT reselect the days you require above. Ticking this box ONLY will ensure you are not prompted for card details.
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Last Name
Credit Card Number
Security Code
Card Expiration
Childcare Voucher Provider (If not applicable put n/a):
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