SPORTING CHANCE
HOLIDAY CLINIC
BOOKING FORM
Holiday Clinics:
Clinic Date:
*
i.e. Monday 06 April – Friday 10 April
Clinic Venue:
Select a venue here
Constantia
Bellville / Durbanville
Somerset West
Newlands
WPCC Astro
Bellville Astro
*
Holiday Clinic Sport:
*
Cricket
Soccer
Hockey
Rugby
Student Details:
First Name
*
Surname
*
Email:
*
Your School
*
Age
Age
4
5
6
7
8
9
10
11
12
13
*
Gender
Select Gender
Male
Female
*
Comments
Parent Details:
Name and Surname:
*
Address:
*
Telephone Number:
*
Email address:
*
How did you hear about us?
Select
Mailing List
Flyer at School
Word of Mouth
Radio (specify which one in space below)
Newspaper (specify which one in space below)
Other (specify in space below)
Details or comments:
Have you previously attended one of our clinics/programmes?
If so, please provide details.
