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Summer Sports Academies

Booking Form 2007
Motcombe Park Sports Centre

Name:

Address:
 
E-mail address
Tel No Home: Mobile:
Age: DOB
Current Playing  Standard -  Novice  /  Club  /  County  /  National Trials

           Date
Course
Fee
Please Tick
24th - 27th July 10.30 - 3.30pm
Yeovil Town Soccer Academy
£60.00

 6th - 9th August

09.30 - 12.30pm

1.00 - 4.00pm

Somerset County Cricket Club

Cricket Academy

£50.00  

30th July- 2nd August

   10.00 - 3.30pm   

Bristol Rugby Club

Rugby Academy

£100.00

20th - 23rd August

10.30 - 3.30pm

Dorset County Hockey

Hockey Academy

£80.00
***
 

Terms and Conditions

  1. All cancellations must be made in writing 7 days before the commencement date of the course for a full refund.  After this period no refund will be made.
  2. Courses may only be booked as a whole.
  3. The Sports Club reserves the right to cancel a course.  In such cases a full refund will be given.

Medical Information

Doctor:

 

Doctors Tel:

Doctors Address

 

 

Any Allergies/Previous Injuries?

I agree that in the event of an emergency, medical treatment mya be given to my son/daughter, if deemed urgently necessary, including the admission of general anasthetic and surgical operation.  Every attempt will be made to contact the parent/guardian before action is taken

I agree to the statement concerning medical treatment (please sign)

 

 

 

We accept cash, cheques and credit/debit cards. 
Please make cheques payable to Motcombe Park Ltd.

We regret that bookings without payment will not be accepted

Signed ...........................................................    Date ...........................................

Please return completed booking form to Motcombe Park Sports Club, Port Regis, Shaftesbury, Dorset, SP7 9QA.  Tel: 01747 856326

E-mail: motcombepark@portregis.com