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If you wish to create an account to store your details for the future, after filling in the form below enter your password at the end of the form

Logout

Parent name/carer *
Address *
<?=$pnt_address?>
Post Code *
Home Number
Mobile Number
Email
Emergency Contact Name
Emergency Contact Tel. Number
1st Child (name & date of birth) *
2nd Child (name & date of birth)
3rd Child (name & date of birth)
4th Child (name & date of birth)
Any medical or dietary conditions that we need to be made aware of?
Please bring inhaler or Epi pen if required in a marked and named box and you will also need to complete
and email the attached forms if you are bringing in any medication to the club, ie inhalers & epi pens. *
<?=$pnt_medical?>
Doctors Name
Doctors Tel. Number
Number of Children

Password
Confirm Password
Payment Method

I agree that I have read and understood the Terms and Conditions and will abide by them

Make a note of the days, weeks or half days that you are booking as you will
require them on the next page for payment, you don't need the actual dates.