Office Use only

UL

Villiers

Pre Booking Form

Name
D.O.B.	Must be 7 Years of age to join
Venue	Year of entry

Name
D.O.B.	Must be 7 Years of age to join
Venue	Year of entry

Name
D.O.B.	Must be 7 Years of age to join
Venue	Year of entry

Additional Information

Address

Tel:

School

Mobile

Email

Contact Name

Name:

Tel: No.

This form allows your child’s/children’s name to be kept on file. It does not guarantee your membership.

You will be contacted in February of year of entry. Both Parent/Guardian and child must attend induction

session in March. Parents/Guardian must be available to assist @ training and blitz on a rota basis.

Signed……………………………………………..parent/guardian/carer

Coach Name:

Office Use Only