Full Name:

Age:

DOB:

Free:

Free Scheme

Name of School:

Add:

Medical
Conditions
or Allergies:

Full Name:

Age:

DOB:

Free:

Free Scheme

Name of School:

Sibling - eligible for 10% Discount:

Add:

Medical
Conditions
or Allergies:

Full Name:

Age:

DOB:

Free:

Free Scheme

Name of School:

Sibling - eligible for 10% Discount:

Add:

Medical
Conditions
or Allergies:

Full Name:

Age:

DOB:

Free:

Free Scheme

Name of School:

Sibling - eligible for 10% Discount:

Add:

Medical
Conditions
or Allergies:

Full Name:

Age:

DOB:

Free:

Free Scheme

Name of School:

Sibling - eligible for 10% Discount:

Add:

Medical
Conditions
or Allergies:

Name:

Tel:

Mobile:

Email:

Emergency
Contact 1:

Emergency
Contact 2:

Authorised
Collectors:

Notes:

Terms and Conditions:

The information gained within this booking form will only be used for the promotional services of Active Primary Sports (APS) and the details will NOT be shared with any other companies. APS will hold no responsibility for lost or damaged valuables. All games played during our clubs or camps will be played under strict rules and fully supervised by qualified sports coaches. You understand that some of our sports are contact sports and we hold no responsibility for injuries sustained during our clubs. APS reserve the right to remove any children who do not follow our behaviour policy.

I agree to the terms and conditions.

We occasionally take photographs to be used on our marketing material and website for promoting our events.
Should you not want your child to be photographed please check the box.