BTFC Soccer Schools Oct 2017

October Half Term 23rd/24th/25th October, Monday to Wednesday, 9am-3pm on all days

Places limited so book in good time, payment required to secure place on course.

Should you have any issues with booking please contact mike@brackleytownfc.co.uk

Please complete details below
Parent/Guardian Information
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Please specify your email address.

Please make sure you enter your correct email address, you will not receive confirmation details otherwise

Please specify your home phone number.
Please specify your mobile phone number.
Emergency Contact (if different from above)
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Children's Details

Extra time club available 8.00 - 9.00am £5.00, 3.00 - 4.00pm £5.00 on all days (pre-booking required)

First Child
Please specify your childs name.
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Please specify your childs school year
First Child days reserved

Tick only days required, if you want to book all three days then just tick 'All three days'





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Second Child
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Please specify your childs school year
Second Child, days reserved




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Medical Info - for all children please state any relevant medical details, conditions, allergies, medication that you wish us to be aware of. E.g. asthma / epilepsy / physical. BTFC staff are not allowed to administer medication - if none state 'none'

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Media Release - I allow my child/children to be photographed/filmed during the course by BTFC staff to be viewed by the public in conjunction with BTFC media outlets website, social media and promotions. If you select 'No' your child will not feature in any of the above.
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Items marked with an * are required.
Total to pay
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Once form completed click on 'Confirm and pay for my order' below and you will be taken to 'PayPal' where you can pay through 'PayPal' or by Debit/Credit Card.

You will receive an automated email confirming your purchase

Thank you for your support BTFC

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Total to pay