Active Kids Academy Spring 22
Please fill out all aspects of this form and pay the fee. Tuesdays 3.30-4.15pm in Eire OG, Greystones. Blocks are 6 weeks in duration and subsidised by Wicklow Triple A Alliance. Members only for insurance reasons. If you have not yet filled out a membership form, please contact tripleawicklow@gmail.com to sign up. Thank you.
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Email *
I confirm that I am a member of Wicklow Triple A Alliance *
Your name *
Your contact number *
Name of child (if more than one child please enter all in the answer box)
Age of child/children *
Is there anything we should know regarding behaviour support, health and safety or allergies in regards to your child/chlidren? *
Payment fee - Fee is €30 per block of 6 sessions.  Payment is via IBAN IE70BOFI90113293052095   BIC BOFIiE2D - Please quote your child's name in the transaction. Please contact Lisa on activekidsacademyireland@gmail.com  to confirm you have booked a place and advise of any support needs :) *
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