26 Easter Camp 2018
REGISTRATION FORM

Dates: 15th April to 18th April 2018

STEPS TO REGISTER

1. Fill in Personal Information, one form per child.
2. Accept consent.
3. Enter sessions required.
4. Choose payment method
5. Pay amount online with your bank or proceed to paypal
6. Input transfer number on to form.
7. Press send

An email confirming your childs sessions will be sent to you.
Sign in to Google to save your progress. Learn more
Personal Information
Please fill in one form per child.  
Make sure email addresses are spelt correctly.

Childs Full Name *
Date of Birth *
Age *
Gender *
Email Address *
Contact Number *
Emergency Name & Number *
CONSENT
In enrolling in 26 coaching sessions I agree that my child will abide by the rules and regulations set out by the company.  I will not hold 26 Limited responsible for any injury or death to my child or damages or loss to my property as a result of participation in these sessions.  I confirm my child is capable of swimming 200m unassisted for aquathon sessions.
I have read the above *
Please tick.  Please note by disagreeing we will be unable to accept your child into the programme.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of 26 Coaching. Report Abuse
Google Forms