BOOK YOUR NOW (Tweens) AIR Cycle*
FINALLY we are ready to transform your boys into MEN

Enrol Onto Our Next Programme: 23th September 2017 - 29th October 2017


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 ENROL@manhoodacademy.co.uk

IF YOU HAVE COMPLETED THIS FORM BEFORE PLEASE INFORM THE TEAM!!!!

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
Investment 8 - 12 years old - Enrol one child costs £70 per term (£50 for parents who are not in full time education or unemployed) Enrol more than one - 20% discount on the second child per term. (Discount only applies if both children are on the same programme at the same time)
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