REGISTRATION FORM | The kids coach

Details of General Practitioner

What Days & Times Are You Signing Up For

If your child suffers from any illnesses, disabilities or allergies please list below

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

Preffered method of payment - Payment is required weekly in advance of the following week!

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