REGISTRATION
First Name
*
Last Name
*
DOB
*
Email Address
*
September 21st: 11yrs - 13yrs
10am - 12pm
September 22nd: 11yrs - 13yrs
10am - 12pm
September 21st: 14yrs - 18yrs
1.30pm - 3.30pm
September 22nd: 14yrs - 18yrs
1.30pm - 3.30pm
LEVEL
*
BEGINNER
INTERMEDIATE
ADVANCED
PLEASE TICK BELOW
*
FEMALE
MALE
Would you be interested to hear about our services?
How did you hear about us?
SIGNATURE (Parent/Guardian required if child U18)
*
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I give permission to take photographs and / or video of my child. I grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group's aims.
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