Elite Rugby Academy Booking Form

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Child's Name : *
Child's DoB :

*

Child's Gender :
male female*
School : *
Parent/Guardian Details
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Address : *
Town/City : *
Postcode : *
Telephone : *
Contact Email : *
Played Before? Who? :
Medical Conditions? :
How did you hear about us? :
MONDAY
The Hut Sports Hall
Kershaw Avenue, Airedale WF10 3ES
:
5.00-6.00pm: 4-6 year olds
6.00-7.00pm: 7-9 year olds
7.00-8.00pm: 10-14 year olds
TUESDAY
Kings School
Mill Hill Lane, Pontefract WF8 4JF
:
5.30-6.30pm: 4-6 year olds
6.30-7.30pm: 7-9 year olds
7.30-8.30pm: 10-14 year olds
WEDNESDAY
A1 Football Factory
Tavern Works, Skinner Lane, Pontefract WF8 1HG
 : 
5.30-6.30pm: 4-6 year olds
6.30-7.30pm: 7-9 year olds
7.30-8.30pm: 10-14 year olds
THURSDAY
Castleford Academy Sports Hall
Ferrybridge Road, Castleford WF10 4JQ
:
5.30-6.30pm: 4-6 year olds
6.30-7.30pm 7-9 year olds
7.30-8.30pm 10-14 year olds
Additional Comments :

 

07949 576258

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