Junior Playmakers Booking Form                            Warren Dell South Oxhey
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Child's full name *
Date of birth *
Age *
What school does your child attend *
Gender *
Address *
Email address *
Emergency Contact *
Emergency contact number *
Medical information
Other information
Where did you hear about us
I allow my child to be included in photo's or filming that may be used on social media or other advertising *
Three Rivers referral number
Days you would like to attend
Please fill day you wish your child to attend
Please Tick (9.30am-3.30pm)
Tuesday 26th July at Warren Dell
Wednesday 27th July at Warren Dell
Thursday 28th July at Warren Dell
Tuesday 2nd August at Warren Dell
Wednesday 3rd August at Warren Dell
Thursday 4th August at Warren dell
Monday 8th August at Warren Dell
Tuesday 9th August at Warren Dell
Wednesday 10th August at Warren Dell
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