Course Application Form

Venue Attending...............................

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

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

Medical Condition....................................................................
School ....................................................
Have you attended a Planet Soccer course before Yes/No

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