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Please return this form with your payment or telephone our
PAYMENT HOTLINE now!
Tel: 01329 285536

School Holiday Fun-Day Course Application Form
Please enroll me on course(s) No. 1 2 3 4 5 6 Tick
Name: ................................................................... D.O.B: ..............................


Address: ...............................................................................................................................

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Postcode:........................................... School:......................................................................

Daytime Tel No:.....................................................................................................................

Any relevant medical information: ........................................................................................

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I am happy for my child to take part in the Fun Day course(s). I understand that it is at his/her own risk and Soccer City Ltd. takes no responsibility for injury or lost or damaged property. Courses may be cancelled at short notice if not enough places are taken.

Signed (Parent/Guardian) ...............................................................................

Send this form to:
Soccer City Ltd.Unit 32, Fareham Ind. Park, Fareham, Hants, PO16 8XG