Multi Sports Winter Club Form

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To book your Childs place can you please fill out this form, once completed we will be in touch with how to book, a more in-depth form will need to be filled in upon first session, all answers and data will be stored safely.

Email *

Name of child *

Your Name *

Phone Number *

Age of Child *

Date of birth of child *

YYYY

Any Medical Information we need to know about? Allergies, illnesses etc *

Any SEND requirements? *

Postcode *

Are you part of the big Norfolk holiday fun scheme? *

Yes

Other:

What school does your child attend? *

What sessions would you like your child to attend? (Monday, Tuesday, Wednesday, Thursday) - We will be in contact to confirm dates and times. Please look at prices before submitting how many and what days you'd like (prices can be found on Facebook @NorfolkActiveKidz)

Monday 19th

Tuesday 20th

Wednesday 21st

Thursday 22nd

Weeks 1

Do you agree for us to share any information with Norfolk County Council *

Yes

Thank You For Submitting. We will be in contact very soon to confirm booking and way of payment if required. Make sure you like us on Facebook @Norfolk Active Kidz to potentially find out more details.

Send me a copy of my responses.

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