SPORTING CHANCE
AFTERNOON CLINIC
BOOKING FORM
Afternoon clinics will take place every Friday.
Venue
:
Constantia
Time
:
15h00 – 17h00
Advance payment:
R350 for 8 sessions, or R100/session
Payment Method:
Cash or EFT
Select Holiday Clinic Sport:
*
Cricket
Soccer
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.
