Upton Primary Booking Form

Please fill in the booking form for the club you would like to attend:

AFTER SCHOOL FOOTBALL (Monday's - 3.30-4.30pm)

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Childs Full Name: *

School Year Group: *

Contact Number: *

E-mail address: *

Contact Name:: *

Name of School: *

Cash

Cheque

BACS

Message for coach: *

Medical Information: *

*

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

Please be aware that the contents of this form are not encrypted

AFTER SCHOOL BOXERCISE - Day TBC

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You have entered the following data:

Please correct your input in the following fields:

Error while sending the form. Please try again later.

Childs Full Name: *

School Year Group: *

Contact Number: *

E-mail address: *

Contact Name:: *

Name of School: *

Cash

Cheque

BACS

Message for coach: *

Medical Information: *

*

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

Please be aware that the contents of this form are not encrypted

Upton Primary Booking Form

AFTER SCHOOL FOOTBALL (Monday's - 3.30-4.30pm)

Your form message has been successfully sent.

AFTER SCHOOL BOXERCISE - Day TBC

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