Club Nights Booking

M	T	W	T	F	S	S
1	2	3	4	5	6	7
8	9£5	10	11	12	13	14
15	16£5	17	18	19	20	21
22	23£5	24	25	26	27	28
29	30£5

Number of bookings^*

Club nights, book 4 get one free

Dates required^*

If 4 bookings are paid for, enter the start date and 4 more dates

Session booked by^*

Email^*

Phone^*

Participants name^*

DOB (if under 18 years old)

1st Emergency contact name

1st Emergency contact number

Consent^*

Yes, I agree

I have noted the arrangements and give permission for the above named to participate in the activity(ies) arranged. If it becomes necessary for the participant to receive medical treatment and the emergency contacts cannot be reached to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader-in-charge to sign any documents required by the hospital authorities. I will also notify the organiser if there is a significant change in health which might affect the participants ability to participate

Total Price

Please select a date first.

Payments^*

Bank Transfer (preferred) or cheque

Transfer money from your bank account.

Club Nights Booking

Courses calendar – Please select a date