Weekend Clubs | Application Form

Weekend Club Application

Enrolment Details

* Indicates required field

Club Type / Day *

Time-slot *

10am - 12pm

Click here for dates

Payment Schedule

I would like to pay *

Please note - all payment schedules are still subject to the same cooling off period and cancellation policy

Student Details

Student Full Name *

Date of Birth *

Medical Information *

Any other information you think might be useful? *

Parent Contact Details

Parent Name *

First

Last

Parent Contact Number *

Email *

Address *

How did you hear about us? *

By Post Web Search Word of mouth Other

Permissions

Do you give permission for your child to go home alone? *

Would you like to be added to our mailing list? *

Privacy and Publicity Policy

Terms and Conditions | Clubs and Workshops v.2.2.5

Privacy and Publicity Policy *

I confirm that I have read and understood the above Privacy and Publicity Policy and consent to Silverbox Films Ltd using images or video footage material featuring my child, of whom I confirm I am the parent or guardian

Terms and Conditions *

I have read and understood the terms and conditions of business v.2.2.5

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