Health Pockets Booking Form

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Hi,

Welcome to our Health Pockets Booking Form! Please scroll down to start booking into one of our sessions.

We are passionate about creating Pockets of Health in our local communities, our schools & our homes. We offer a number of special and personal programmes across the West Midlands, Warwickshire and Worcestershire: Just Play Sport, My Edible School, Forest School, Tudor Grange Badminton Club and Holiday Clubs.

All information provided is confidential and only accessible to our coaches and admin team and will never be passed on to other parties. Email address will be used to send relevant information such as blogs, club information, newsletters from our website - you can unsubscribe from these at anytime. Our full privacy policy is available on our website www.HealthPockets.co.uk

Email *

Untitled Title

Parent's Name (if signing up a child)

Participants Name *

Mobile Number (parents if under 16) *

Emergency Number *

Address *

Email (parents if under 16) *

Participants Date of Birth *

School Year

Medical Conditions / Allergies *

Medical Requirements / Symptoms / Special Needs

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