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) *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms