Intermediate - Year 5+ (Chelmsford Entries)

MK Springers, 17 Carters Ln, Kiln Farm, Milton Keynes MK11 3ES

EAG Winter Championships!

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) 16 Nov 17:30 - 19:30

Guardian Details

First name

Last name

Email address

Mobile number

Address line 1

Address line 2

Town

County

Postcode

Child Details

First name

Last name

Date of birth

School year

Disability or Medical Needs

Shirt option

Gender

Male

Female

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

Contact 1 Mobile number

Contact 1 Relationship

Contact 2 Name

Contact 2 Mobile number

Contact 2 Relationship

I agree to the processing and storage of my data in accordance our Privacy Policy.