After School Course 2nd Instal register

After Schools Course 2nd Instalments

Please complete the After School Course payment form below. Once you have submitted the form you will be requested to select your course and then to pay online
Your Paypal receipt is confirmation of your childs place on the course.

* Indicates required field

After School Course Required *

1st Child Name *

First

Last

1st Child Date of Birth AND Age *

2nd Child Name *

First

Last

2nd Child Date of Birth AND Age *

Parent/Guardian *

First

Last

Parent/Guardian Address *

Mobile Number *

Home Telephone Number *

Email *

Any Medical Conditions or Comments/Instructions? *

Tick Box if you object to photos being used for promotional use : *

I object

Submit Registration Details