Ulverley Rising Stars Booking Form 2022/2023
This form is to be completed by parents / carers for new bookings with URS.  
If booking for multiple children please complete one form per child. Spaces are allocated on a first come first served basis and our subject to our terms and conditions. A copy of which can be found on our website.
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Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Contact Name *
Parents/carers email address *
Address *
Emergency Contact Details
Please detail two contacts including name and telephone number who can be contacted in an emergency.
Emergency Contact 1 *
Emergency Contact 2 *
Password for Child Collection *
Start Date Required (please allow 48hrs notice) *
MM
/
DD
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YYYY
School class (if applicable)
Child Age *
Sessions Required
7.45am Start
4.30pm Finish
5.30pm Finish
Monday
Tuesday
Wednesday
Thursday
Friday
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