School Name

Child's Name

Child's Surname

Child's Gender

Child's Age

Child's Date of Birth (YYYYMMDD)

Child's Allergies

Child's T-shirt Size Child's T-shirt Size3-4 Years5-6 Years7-8 Years9-10 Years11-12 Years

Preferred Method of Payment Preferred Method of Payment10 X Monthly Payments4 X Termly Payments3 X Termly Payments1 X Annual Payment

Mothers Name

Mothers Phone Number

Mothers Email Address

Fathers Name

Fathers Phone Number

Fathers Email Address

I Accept: I Accept: I do hereby acknowledge that I shall have no claim whatsoever against Mc Sportz, Phyzz Ed Sportz staff, managers or any other staff member associated with the company, which may arise as a result of injuries, damage, or any loss of personal items whilst participating in the training sessions held at the above school or any other organised events. I also allow pictures of my child, taken during sessions and events, to be posted on Social Media.