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Dear Parents/Carers, Could you please select from the list below the clubs that you would like your child to attend. If you have more than 1 child in school you will need to submit a separate form for each child.

Please tick which clubs you would like your child to attend*

Child's Name


Parent/Carer Name

Please complete:*

Please indicate below if you child has any medical conditions which the coach needs to be made aware of:

Email address for confirmation