KJH Cricket Booking & Consent Form

Please complete this Booking & Consent Form if you are booking online or have been sent the link to complete the form~

Childs Information:

Full Name & Date of Birth (dd/mm/yyyy) & Age & Gender & Ethnicity & Medical Conditions / Disability:

Parent / Guardian Information:

Full Name & Address & Contact Number & E-Mail:

Course Bookings:

Course Code & Course Name & Course Date & Course Time & Course Venue:
I give permission for my childs Photograph to be taken and to be used for publicity purposes (Please Tick):
Enter the code below in here: