Operoo

SPARK Cricket Course - Wednesday 16 - Friday 18 February 2022

Course Information:

Eastbourne College Sports Hall

Cost £25 a session

Year Groups 1-4 09.00-12.00 each day

Year Groups 5-8 13.00-16.00 each day

Full Name *

Age (Number) *

Year Group (Number) *

Date of Birth *

Address

Address Line 1 *

Address Line 2

City *

Postal Code *

Country *

Current School *

Gender *

Dates Attending Year Groups 1-4 09.00-12.00 each day

Wednesday 16 February

Thursday 17 February

Friday 18 February

Dates Attending Year Groups 5-8 13.00-16.00 each day

Wednesday 16 February

Thursday 17 February

Friday 18 February

Contact Details (And First emergency contact)

Title *

Mrs

Miss

Other

Relationship *

Full Name *

Phone/Mobile number (Number) *

E-mail *

Contact Details (Second emergency contact)

Title *

Mrs

Miss

Other

Relationship *

Full Name *

Phone/Mobile number (Number) *

Email *

Medical Information

Doctor's Name *

Surgery Name *

Surgery Phone Number *

Any known medical conditions *

Medication required - medication must be handed in on arrival and a consent form will require a signature from the parent/guardian if medication needs to be administered.

Please provide details of medication

Allergies *

Data Protection

SPARK and Eastbourne College follow strict policies and practices regarding the taking, processing and distribution of images. In addition, we adhere to the legal requirements set out in the 2018 General Data Protection Regulations (GDPR). We request permission to use your child's image for celebrating the achievements of the participants and for marketing purposes.

Please tick the relevant box to agree to the use of your child's image *

Agree

Disagree

We request permission to hold your details on file, please tick this box if you AGREE for us to hold your information (which will not be passed to any third parties). *

Agree

Disagree

If you would like to be kept informed of future SPARK events *

Agree

Disagree

If you would like to receive information about future Eastbourne College events *

Agree

Disagree

Please re-confirm email address for correspondence *

Where did you hear about SPARK? *

Social Media

Local coach/team

Family/Friends

Your school

Eastbourne College website

Other

1 session (Spark Cricket Code - W9001C)

Requested payment amount: £25.00 GBP

Total amount paid: £0.00 GBP

2 sessions (Spark Cricket Code - W9001C)

Requested payment amount: £50.00 GBP

Total amount paid: £0.00 GBP

3 sessions (Spark Cricket Code - W9001C)

Requested payment amount: £75.00 GBP

Total amount paid: £0.00 GBP

Please note that if payment is not made before submitting then the place is not confirmed. If you have any queries please e-mail spark@eastbourne-college.co.uk.