PLAY SOCCER ACADEMY BOOKING FORM

3 DAYS £40          INDIVIDUAL DAYS £15
Wednesday 27th October 2010:   
Thursday 28th October 2010:   
Friday 29th October 2010:   

Player Details
Name:   
School Year:   
Age:    5 6 7 8 9 10 11 12
Date of Birth:   
School:   
Current Team:   
Preferred Position:   
Preferred Foot:   
Medical Details:   

Parent / Guardian Details
Name:   
Address:   

Postcode:   
Email:   
Home Telephone:   
Mobile Telephone:   

I acknowledge and accept that Play Soccer Academy, the organisation providing facilities and their respective agents or employees, are not under any liability whatsoever in respect of personal injury, loss or damage however caused whilst in attendance at the aforementioned soccer school. Play Soccer Academy reserves the right to change any aspect of the course including cancelling. Cancellation of bookings must be received by Play Soccer Academy at least 3 days prior to the first day of the soccer school for a valid refund. All bookings are subject to availability.