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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: 1072
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
24.07.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1073
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
24.07.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1074
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
24.07.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1075
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
24.07.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1076
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
25.07.2019
->
26.07.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1077
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
25.07.2019
->
26.07.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1078
Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
25.07.2019
->
26.07.2019

Time (daily):
08:45 -> 15:00
£37.00

CourseID: 1079
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
25.07.2019
->
26.07.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1080
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
25.07.2019
->
26.07.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1081
Individual Day Football
(4 & 5yrs).
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
26.07.2019

22.07.2019
23.07.2019
24.07.2019
25.07.2019
26.07.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1082
Individual Day Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
26.07.2019

22.07.2019
23.07.2019
24.07.2019
25.07.2019
26.07.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1083
Individual Day Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
25.07.2019
->
26.07.2019

25.07.2019
26.07.2019

Time (daily):
08:45 -> 15:00
£18.50

CourseID: 1084
Individual Day Acivity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
26.07.2019

22.07.2019
23.07.2019
24.07.2019
25.07.2019
26.07.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1085
Individual Day Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
22.07.2019
->
26.07.2019

22.07.2019
23.07.2019
24.07.2019
25.07.2019
26.07.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1086
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
31.07.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1087
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
31.07.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1088
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
31.07.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1089
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
31.07.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1090
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
01.08.2019
->
02.08.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1091
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
01.08.2019
->
02.08.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1092
Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
01.08.2019
->
02.08.2019

Time (daily):
08:45 -> 15:00
£37.00

CourseID: 1093
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
01.08.2019
->
02.08.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1094
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
01.08.2019
->
02.08.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1095
Individual Day Football
(4 & 5yrs).
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
02.08.2019

29.07.2019
30.07.2019
31.07.2019
01.08.2019
02.08.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1096
Individual Day Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
02.08.2019

29.07.2019
30.07.2019
31.07.2019
01.08.2019
02.08.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1097
Individual Day Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
01.08.2019
->
02.08.2019

01.08.2019
02.08.2019

Time (daily):
08:45 -> 15:00
£18.50

CourseID: 1098
Individual Day Acivity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
02.08.2019

29.07.2019
30.07.2019
31.07.2019
01.08.2019
02.08.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1099
Individual Day Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
29.07.2019
->
02.08.2019

29.07.2019
30.07.2019
31.07.2019
01.08.2019
02.08.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1100
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
07.08.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1101
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
07.08.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1102
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
07.08.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1103
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
07.08.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1104
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
08.08.2019
->
09.08.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1105
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
08.08.2019
->
09.08.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1106
Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
08.08.2019
->
09.08.2019

Time (daily):
08:45 -> 15:00
£37.00

CourseID: 1107
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
08.08.2019
->
09.08.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1108
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
08.08.2019
->
09.08.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1109
Individual Day Football
(4 & 5yrs).
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
09.08.2019

05.08.2019
06.08.2019
07.08.2019
08.08.2019
09.08.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1110
Individual Day Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
09.08.2019

05.08.2019
06.08.2019
07.08.2019
08.08.2019
09.08.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1111
Individual Day Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
08.08.2019
->
09.08.2019

08.08.2019
09.08.2019

Time (daily):
08:45 -> 15:00
£18.50

CourseID: 1112
Individual Day Acivity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
09.08.2019

05.08.2019
06.08.2019
07.08.2019
08.08.2019
09.08.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1113
Individual Day Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
05.08.2019
->
09.08.2019

05.08.2019
06.08.2019
07.08.2019
08.08.2019
09.08.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1114
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
14.08.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1115
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
14.08.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1116
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
14.08.2019

Time (daily):
08:45 -> 12:00
£23.00

CourseID: 1117
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
14.08.2019

Time (daily):
08:45 -> 15:00
£37.50

CourseID: 1118
Football
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
15.08.2019
->
16.08.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1119
Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
15.08.2019
->
16.08.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1120
Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
15.08.2019
->
16.08.2019

Time (daily):
08:45 -> 15:00
£37.00

CourseID: 1121
Activity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
15.08.2019
->
16.08.2019

Time (daily):
08:45 -> 12:00
£17.00

CourseID: 1122
Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
15.08.2019
->
16.08.2019

Time (daily):
08:45 -> 15:00
£27.50

CourseID: 1123
Individual Day Football
(4 & 5yrs).
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
16.08.2019

12.08.2019
13.08.2019
14.08.2019
15.08.2019
16.08.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1124
Individual Day Football
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
16.08.2019

12.08.2019
13.08.2019
14.08.2019
15.08.2019
16.08.2019

Time (daily):
08:45 -> 15:00
£14.25

CourseID: 1125
Individual Day Goalkeeping
(6-14yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
15.08.2019
->
16.08.2019

15.08.2019
16.08.2019

Time (daily):
08:45 -> 15:00
£18.50

CourseID: 1126
Individual Day Acivity Zone
(4 & 5yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
16.08.2019

12.08.2019
13.08.2019
14.08.2019
15.08.2019
16.08.2019

Time (daily):
08:45 -> 12:00
£9.00

CourseID: 1127
Individual Day Activity Zone
(5-12yrs)
Wolverhampton Grammar School, Compton Road, Wolverhampton. WV3 9RB
12.08.2019
->
16.08.2019

12.08.2019
13.08.2019
14.08.2019
15.08.2019
16.08.2019

Time (daily):
08:45 -> 15:00
£14.25


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