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Child / Parent information
I confirm that all details are correct to the best of my knowledge and I am able to give parental consent for my child to participate in the selected activities.
We are committed to providing a positive & safe environment in which young players are able to enjoy sporting activities. So please: NEVER: Criticise, use bad language or violence. ALWAYS: Show respect for everyone involved. For participants' safety we have to insist on: No photography or recording; No jewellery or chewing gum on the course; Long hair tied back before arrival; Shin pads worn for football.
In the unlikely event of an accident or illness which needs immediate treatment, I give permission for emergency aid to be administered where considered necessary by the Coach in charge. If I cannot be contacted and my child should require emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.
Your child will not be allowed to leave alone without a letter signed by you with a request to that effect. Please tick if you request this option.

We need to know these details in order to meet the specific needs of your child. In accordance with the terms of the General Data Protection Regulations (GDPR) all details will be held in confidence and at a secure location. Information provided will not be shared with any other organisations and it will be securely disposed of after 12 months.
If you wish your data to be disposed of sooner or if you have any other questions then please contact Wayne Clark on 07803908410.
If any of the above cannot be filled in, please call Wayne Clark on 07803 908 410 or Contact Us

* mandatory field
CoursesDateCost
CourseID: 1128
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
30.10.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1129
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
30.10.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1130
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
30.10.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1131
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
30.10.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1132
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
31.10.2019
->
01.11.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1133
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
31.10.2019
->
01.11.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1134
Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
31.10.2019
->
01.11.2019

Time (daily):
08:45 -> 15:00
£37.00

CourseID: 1135
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
31.10.2019
->
01.11.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1136
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
31.10.2019
->
01.11.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1137
Individual Day Football
(4 & 5yrs).
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
01.11.2019

28.10.2019
29.10.2019
30.10.2019
31.10.2019
01.11.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1138
Individual Day Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
01.11.2019

28.10.2019
29.10.2019
30.10.2019
31.10.2019
01.11.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1139
Individual Day Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
31.10.2019
->
01.11.2019

31.10.2019
01.11.2019

Time (daily):
08:45 -> 15:00
£18.50

CourseID: 1140
Individual Day Acivity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
01.11.2019

28.10.2019
29.10.2019
30.10.2019
31.10.2019
01.11.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1141
Individual Day Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
28.10.2019
->
01.11.2019

28.10.2019
29.10.2019
30.10.2019
31.10.2019
01.11.2019

Time (daily):
08:45 -> 15:00
£14.25


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