Weekly Skills Academy Term Booking Form

Weekly Skills Academy – AUTUMN SECOND HALF TERM BOOKING

This form is for a half term booking at a one off discounted price (£52.50 for 7 week half term, £7.50 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 for the Autumn Term.

JUNIOR DETAILS *

First

Last

Date of birth *

Medical conditions *

Additional needs *

For example: Autism/ADHD

Autumn Term Session required *

Please select the session 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

Phone