Intermediate - Year 4 & 5 (Norwich Entries)

Only 5 slots left

Competition Location - EAG Lowestoft, 2 Leyland Court, NR32 2EP

Booking Form

To book a space, please complete the details below. If you wish to book for multiple children, you will need to complete a form and make payment for each child individually.

Slots

Please select the slots you would like to book your child onto

(£41) 06 Dec 17:30 - 19:30
Only 5 slots left

Guardian Details

First name

Last name

Email address

Mobile number

Address line 1

Address line 2

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Child Details

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Last name

Date of birth

School year

Disability or Medical Needs

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Emergency Contact Details

In the event that we need to get hold of someone about your child, please provide details for two emergency contacts.

Contact 1 Name

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Contact 1 Relationship

Contact 2 Name

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Contact 2 Relationship

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