Child's name
Child's age
email address
Emergency contact number (1)
Emergency contact number (2)
Days required:- (please tick)
Allergies:-
Payment is by Direct bank transfer to Lloyds Bank Sort code 30-97-73, Account number 37995868
Once the registration form has been submitted and payment received you will receive an email confirming your place. After this point no refunds are possible. We look forward to welcoming your child to this activity.