Beginner Course Caterham - Booking Form

Fencer's First Name *
Fencer's Last Name *
Fencer's Year of Birth *
Handed : Right or Left? *
Parent / Carer Name *
Parent / Carer mobile # *
Does the fencer have any medical conditions requiring medical treatment?
Does the fencer have any special requirements (diet, allergies, access needs, religious)?
Is there anything else we should be aware of?
Choose Your Children's Sessions	Friday, 2nd to 23d October inclusive Friday, 6th to 27th November inclusive Friday, 2nd to 23d October inclusive Friday, 6th to 27th November inclusive
Emergency Medical Consent *	I GIVE consent for a Dream Fencing coach to authorise emergency medical treatment for my child if I cannot be contacted. I DO NOT give consent for a Dream Fencing coach to authorise emergency medical treatment for my child if I cannot be contacted. I GIVE consent for a Dream Fencing coach to authorise emergency medical treatment for my child if I cannot be contacted. I DO NOT give consent for a Dream Fencing coach to authorise emergency medical treatment for my child if I cannot be contacted.
Media Permission *	I GIVE my permission for my child or myself to appear in publicity materials. I DO NOT give my permission for my child or myself to appear in publicity materials. I GIVE my permission for my child or myself to appear in publicity materials. I DO NOT give my permission for my child or myself to appear in publicity materials.
Payment Method	Bank Transfer
Total Fees	£0.00
Amount Paid	£0.00
Outstanding Balance	£0.00

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