Name of student/player and if an adult their telephone number
*
Your answer
Select course ( please pay no monies until your place is confirmed- £40 per person per course). *
Emergency Contact (please give name and phone number of someone to contact in an emergency- not the name of the student/player and not their telephone number.) *
Your answer
Medical Issues:
Your answer
Any other comments...
Your answer
A copy of your responses will be emailed to the address you provided.