REGISTRATION FORM | The kids coach

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Extra Curricular Activity /Camp Expression of Interest Form

Child's first name

Date of birth

Child's Last name

Gender

Parent/Guardian 1 Name

Address

Phone

Email

Parent/Guardian 2 Name

Address

Phone

Email

Details of General Practitioner

What Location are you enquiring about?

What Days & Times Are You Signing Up For

If your child suffers from any alergies please list below

Tell me as much information as possibe about your child. The more infomation the better!

Do you consent to having your child photographed so we can share memories with you parents and for marketing purposes

I accept that all services are booked through our website, either by full payment in advance online or by selecting to pay in cash on arrival.

I accept terms & conditions

Thanks for submitting!

© David Nugent Fitness Ltd 2021. All rights reserved.

T/A The Kids Coach

Privacy Policy revised.pdf

Privacy policy.

Registered Address:

76 St Brendan's Crescent,

Greenhills,

Dublin 12.

Company Registration number:

634584

David Nugent Fitness Ltd

T/A The Kids Coach.

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