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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