You are on page 1of 1

BOOKING FORM

Childs Name........
Age......
Address ..
................................................................................................................
...........................................................................................................................................................
Contact Name........
Phone No.............
Course Date/s.......
Any Medical Information

......

Please circle
YES, I grant you permission to use photos of my child on our A.T.Sportz & Sports United Facebook page
or in A.T.Sportz & Sports United leaflets
NO, Please do NOT take or use any photos of my child

Parent / Guardian Signature .


Date ....

EASTER HOLIDAY CLUBS


Submit
2016

You might also like