October 2008 online booking


December 2008 Online Booking form

All the fields marked with (*) are mandatory and must be filled out, if not the booking will not be made.

Please Provide us with the following information on the Childs who will be participating:

First Name*

Last Name*

Date of Birth*

Sex* Male Female

School

Please state any medical conditions that the child has that we should know about:

# Medical Conditions#

Please provide us with the following emergency contact information:

Name

Title

Street Address

Address (cont.)

City

Borough

Postal Code

Home Phone*

Other Phone

E-mail*

Please select the dates and times you wish your child to attend*:

Week 1:

Monday 22nd December 2008 - 10.30am - 3.30pm                                    Monday 22nd December 2008- 8.00am - 6.00pm
Tuesday 23rd December 2008- 10.30am - 3.30pm                                      Tuesday 23rd December 2008 - 8.00am - 6.00pm

Week 2:
Monday 29th December 2008 - 10.30am - 3.30pm                                     Monday 29th December 2008 - 8.00am - 6.00pm
Tuesday 30th December 2008 - 10.30am - 3.30pm                                   Tuesday 30th December 2008 - 8.00am - 6.00pm

During our courses LCS take photographs and videos which in future may be used for publication purposes, please specify if we have your permission to take photographic material of your child*:

Yes No

First Name*
Last Name*
Date of Birth*
Sex*	Male Female
School

Name
Title
Street Address
Address (cont.)
City
Borough
Postal Code
Home Phone*
Other Phone
E-mail*