BOOK YOUR TEENAGER NOW
FINALLY we are ready to transform your boys into MEN

BOOK NOW!!!!

To secure a space for your child on our programme please complete this booking form. Should you require support in completing the form, please do not hesitate to contact info@manhoodacademy.co.uk

Child's Full Name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Your Address (We will never Share Your Data With anyone)
Your answer
Name of Parent(s) or Carer(s) Completing This Form
Your answer
Who Does The Child Live with?
Parent(s) or Carer(s) Email Address
Your answer
Parent(s) or Carer(s) Contact Number
Your answer
Medical Details (Name and number of GP) In Case Of An Emergency
Your answer
Why Do You Want The Manhood Academy To Be Involved With Your Child?
Your answer
Education Details (Name Of School And Head Of Year)
Your answer
Main Areas Of Support
Required
Please Write Some Words About The Main Areas of Support
Your answer
If Your Son Is Between The Ages of 13 - 19 Years Old Please Complete This Question. Select Your Preferred Cycle. Workshops Are Every WEDNESDAY NIGHT From 6pm - 9pm (Limited spaces and time may change slightly, full info will be given with the confirmation letter)
Investment - 13 - 19 years old £10 registration fee (one off) £440 per child for the YEAR!!!!! (broken down into £110 every 12 weeks) £11 per session
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