Booking Form

Venue:
Harefield Academy (Reception & Year 1)

Year Group:
ReceptionYear 1

Autumn Term Start Date: 09/09/2017

Childs Name:

School Attending:

Medical History:

Any illnesses, medical conditions, injuries, allergies or current medication:

Please specify or state NONE

Name of Parent/Guardian:

Email Address:

Telephone:

I would like to receive information regarding forthcoming Football Kids events and activities:
YesNo

I have read and accepted our Terms & Conditions

Please enter the letters/numbers/images below to submit the form.