Manchester Booking Form

Name of Child*

Date of Birth*

Name of Parent/Carer/School/Organisation*

Your Address*

Phone Number*

Email Address*

Please select the service you're interested in*
---Nursery SessionsPre School ClassesPrimary School ProvisionActive LunchtimesActive Extended DayActive StaffDevelopment CentresClub CoachingOne to One TuitionTournamentsHoliday ClubsBirthday PartiesCare Home Activity Sessions

Please tick to confirm agreement: *

I understand that the teaching of some sessions will require the coach to have physical contact with my child and I give my permission.*

From time to time, we or the press may take photos or films of the classes, which may be used for promotional purposes or on our website.*

How did you hear about Sport and Health Academy?*
---Word of MouthFlyerSearch EngineSocial MediaNewspaperOther

Which is bigger, 2 or 8?