Weekly Skills Academy Pay to Play Booking Form

Weekly Skills Academy – AUTUMN TERM BOOKING – PAY TO PLAY (WEEK BY WEEK SESSIONS)

This form is for a pay to play booking at a price of £8.00 per session.

Please complete the form below and submit. You will then be taken to a new screen to make payment for the specific session that you would like to purchase via the Shopping Cart to secure your booking.

JUNIOR DETAILS *

First

Last

Date of birth *

Medical conditions *

Additional needs *

For example: Autism/ADHD

Pay to Play session(s) required

Mon 4th December Primary School
Mon 4th December Secondary School
Wed 6th December Primary School
Wed 6th December Secondary School
Mon 11th December Primary School
Mon 11th December Secondary School
Wed 13th December Primary School
Wed 13th December Secondary School

Plesae select the session(s) you are booking.

PARENT/GUARDIAN DETAILS *

First

Last

Relationship to junior *

Mobile number *

Email address *

ADDITIONAL EMERGENCY CONTACT DETAILS

First

Last

Mobile number

Hemel Storm would like to take photographs and / or videos during the session. Please confirm below your consent wishes to the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help promote Hemel Storm predominantly on our social media platforms and website. *

Please select the relevant option above

Name