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Year 5+6 Football - Wednesdays 3:15 - 4:15 - St Charles
Term dates: 26th April - 5th July 2023
Your child’s place is not secured until the form is completed and payment has been made
PAYMENT LINK:
https://buy.stripe.com/eVa7vk7I76yU0Cc7su
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Email
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Your email
Full name of child
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Your answer
Age
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Your answer
Class
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Your answer
Emergency Contact (Name and contact number)
*
Your answer
E mail address
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Your answer
Postcode
Your answer
Ethnicity
*
White / White British
Black / Black British
Asian / Asian British
MIxed / Mixed British
Other
Other please specify
Your answer
Does your child have any health issues or injuries that may be brought on by exercise?
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No
If yes please state
Your answer
Please state if you have paid the £45 fee for the term at the top of the page
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