Any questions? firstname.lastname@example.org
To book onto a class/camp please complete the booking form below. Once you have submitted the booking from we will respond within one working day to arrange payment for your class/camp.
Parent/Carer’s Name (required)
Your address (required)
Your Email (required)
Contact Number (required)
Other named individuals with parental authority to collect children (required)
Please confirm the venue and session time you would like to book. (required)
Child's Name (required)
Child's - D.O.B (required)
Child's - School (required)
Would you consent to photography or video of your child for feedback or marketing:
Please provide any details of any medical conditions/allergies including any warning signs or symptoms. Please include any behavioural or learning conditions.
Has your child had any recent illnesses, injuries or operations?
Does your child take any regular medication, if yes, please provide details? (Inhalers and epi-pens should be provided in a named sealed bag.)?
Please provide the name address and telephone of your child’s doctor.
I give permission for my child to take part in the SportSense Classes. I agree that SportSense will act in loco parentis if I cannot be contacted, and give permission for the Head Coach to authorise medical treatment should it be considered necessary by local medical authorities.
Please "sign" in Capitals Letters