eXTRAVAGANZA BOOKING FORM

I would like to book my Child on the Sports Extravaganza!

Courses Running This Year!

Summer – Mon 21st July – Fri 25th July at Our Lady of Lourdes, Leigh-on-Sea,

Summer – Mon 21st July – Fri 25th July at Blenheim Primary, Leigh-on-Sea,

Summer – Wed 23rd July – Fri 25th July at St John Payne School, Chelmsford,

My Selected Venue is:

My Selected Course dates:

Please selects Days if know

Monday	Tuesday	Wednesday	Thursday	Friday	All Week

Name of Child*

Age*

School*

School Year*

Any Medical Conditions, Recent illness or injury

Current Medication and How often taken:

Address*

Emergency Phone Number/s*

Your (Parents) Name*

CONFIRM BOOKING
CLICK BELOW

If printing this form Please Return it, together with £5 Deposit for each day booked (£25 for the week), to Mr. S Orton, 14 Fernleigh Drive, Leigh-on-Sea, Essex, SS9 1LQ. ( Cheques made payable to S. Orton).

No additional deposit is required for booking of additional children!

If booking online select ‘confirm booking’. You will be sent confirmation and a request for a deposit of £5 for each day booked.

Or of course you can just turn up on the day but you will be required to spend a few moments completing the form!

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