Chetwynd Spencer Academy - After School Club Booking Form

Chetwynd Spencer Academy - After School Club Booking Form - Autumn 1
PLEASE READ THE AFTER SCHOOL CLUB INFORMATION BEFORE COMPLETING YOUR BOOKING FORM
PLEASE COMPLETE 1 FORM PER CHILD
Child's Name

First NameLast Name
Date of Birth
Address

Street Address

Street Address Line 2

TownCounty

Post Code
School Year
Emergency Contact (must be contactable during the club)
Relationship to child
Medical conditions and medication taken
My child will:
Please select ONE of the following options regarding photographs:
Any additional information you feel we may require
Form completed by:

First NameLast Name
Email
example@example.com
Signature
Please select the club you would like your child to attend:
prevnext( X )
Years FS/1/2 Multi Sports
Thursday

£36.00 Quantity

Total

£0.00
You will receive a confirmation email on completion of your booking. Please email info@amsports.co.uk if you do not receive this within 24 hours.

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Chetwynd Spencer Academy - After School Club Booking Form - Autumn 1