After School Application Form

Name.......................................................................................
Address....................................................................................
.................................................................................................

Telephone..........................Email...............................................
Age...................................DOB...............................................

Medical Condition....................................................................
Club you would like to attend....................................................
Year Group....................School Attending................................

I acknowledge & accept that the organisers providing these facilities, and their respective servants,agents or employess, are under no liability whatsoever in respective of loss or damage of property occuring whilst my child is in attendance on the above course.

Signature Parent/ Guardian .....................................................
Your application is accepted asnd confirmed unless we contact you to say otherwise