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February Half Term 2012 If your son/daughter wishes to attend ‘SIMPLY SOCCER/SPORTS’ please complete this application form and disclaimer and return ASAP to guarantee a place as there are limited numbers. Childs Name:

Age:

Yr Group:

Date of Birth: Parent/Guardian Name: Mailing Address:

Postcode: Home Tel:

Work Tel:

Mobile:

Email:

Emergency name and contact number: Any allergies/illnesses (Medication): I understand that Simply Soccer are not under any liability whatsoever in respect of any loss or damage, however caused while attending the soccer school. I confirm that I have read and accepted these conditions. Print Name:

Signed:

Options (Please tick)

February Half term 13th-17th February 2012 Mon - Fri 8.30am – 3.30pm = £80

Individual days = £20

Half days = £10

Please state individual days or half days: Please enclose a cheque for the appropriate amount payable to ‘J Scott & S Moiani’ and send along with the application form to:

Simply Soccer School

3 Les Ormes, La Rue De La Blanch Pierre, St Lawrence JE3 1EX Mob: 07700 8260 382 Email: simon@simplysoccerschool.com


February half term apllication form  

The February half term application form states times, dates and prices available for the next course. If you wish your son/daughter to atten...

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