Clone of Halfway Infants After School Club Registration Form

Registration Form

Fill out the form carefully for registration
Your Name*

First NameLast Name
Childs Name*

First NameLast Name
2nd Childs Name

First NameLast Name
3rd Childs Name

First NameLast Name
Parent / Guardian E-mail
example@example.com
Parent Mobile Number
Format: (000) 000-0000.
Backup Emergency Name
Backup Emergency Number
Format: (000) 000-0000.
Any medical issues / Allergies we need to know*
Please type None or N/A if their is nothing
Two Payment Options:

Card or Bank Transfer : Please Still submit the form.

KRS Education Ltd

Sort Code: 04-06-05

Account: 16643117

Striking and Fielding (Bat Sports)

Paying for 5 Weeks

£20.00 Quantity
Item subtotal:£0.00

Handball

Paying for 5 Weeks

£20.00 Quantity
Item subtotal:£0.00

Total

£0.00