Booking Form – SMC Activities Club @Churchill Primary School.

Booking Information

Your child

First name(required)

Surname(required)

Preferred name u003cemu003e(if different from above)u003c/emu003e

Year Group(required)

Does your child have any medical conditions?(required) Yes

No

If yes, please provide more information.

Select the days you would like to book. Term 2 = 7 weeks(required) Term 3 – Mondays

Term 3 – Tuesday

Term 3 – Wednesday

Term 3 – Thursday

If there is any other relevant information that you think we should know about your child, please let us know here.

You

Title

First name(required)

Surname(required)

Relationship to child(required)

Home phone number

Mobile phone number(required)

Daytime phone number(required)

Email address(required)

Are you the emergency contact? (required) Yes

No

Emergency contact

(Only needed if emergency contact is different from the above contact)

Title

First name

Surname

Relationship to child

Home phone number

Mobile phone number

Daytime phone number

Email address

Privacy

(required) By ticking this box, I agree that I have read the privacy policy and consent to the processing of mine and my childs data by Sports Masters Coaching

Please read our privacy policy

Disclaimer: If you have submitted and not heard anything back in 24 hours, please email sportsmasters.bookings@hotmail.com. Your form will have been submitted and been sent to this email.