OCTOBER SCHOOL HOLIDAY CAMP REGISTRATION FORM

1st April to 5th April 2024

Time: Drop off from 8.30am, 9am to 3pm

Age: 4 to 13 years old

Location: St Charles Sixth Form College - St Charles Square W10 6EY

Sessions are in English and French

INFORMATION

PARENT/GUARDIAN INFORMATION

GP INFORMATION

REGISTRATION PAYMENT

Your child must be 4 years old by 30 August 2022 to register. You will need to provide a birth certificate for your child prior to collecting your uniform.

By submitting the form, I, as the parent/guardian of the registrant, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the registrant's life, limb, or well-being.

By submitting the form, I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the FA. I, also give consent for any images or content taken at training and games to be used for promotional use for JTL FC Academy.

By submitting the form, I, the parent/guardian agree to receive emails and SMS' that provide an update of news, offers and promotions from JTL FC Academy.

I read theTerm & Conditions

First Name

Last Name

DOB

Guardian First Name

Guardian Last Name

Address

Phone

GP First Name

GP Last Name

GP Phone

Medical Concern

School Name & Class

Thank you for registering, we will be in touch to confirm payment and your place

Postcode

You will need to fill out one registration per child. Once you have completed the registration and payment you can start a new registration form for the next child.

I agree to the terms & conditions