Online Sports Courses Application

Please complete the online form below and click the submit button so your details can be sent to us. All required fields must be completed in order for the form to be submitted.

Child Details

First Name: (required)

Surname: (required)

Gender: (required)MaleFemale

Date of Birth: (required)

Home address:(required)

Postcode: (required)

Rooming requests (summer residential courses only):

Shirt Size FEMALE (womens sizing, summer courses only):
Female 6Female 8Female 10Female 12Female 14

Shirt Size MALE (mens sizing, summer courses only):
Male XXSMale XSMale SMale MMale LMale XL

Swimming ability:(required)

Non SwimmerBeginner (0-40m)Average (40m-80m)Good (80m+)

School attended:(required)

Where did you hear about us?(required):

Allergies / Medication / Special Needs & Requirements

Allergies:

Medication:

Special Needs & Requirements:


Primary Parent / Guardian Details

Mothers Name: (required)

Mothers Mobile Telephone number:(required)

Mothers Work Telephone number:

Dads Name:(required)

Dads Mobile Telephone number:(required)

Dads Work Telephone number:

Contact e-mail address: (required)


Choose your course!

**********

Girls & Boys Hockey Courses

October Half-Term 2016 Course (AGES 5 - 14):
Thursday 27th & Friday 28th October 2016 @ £100.00 for 2 day intensive course

Christmas 2016 Course (AGES 5 - 14):
Monday 19th & Tuesday 20th December 2016 @ £100.00 for 2 day intensive course

Easter 2017 Course (AGES 5 - 14):
FULLY BOOKED, NO SPACES REMAINING

Summer 2017 Course (AGES 5 - 14):
Monday 7th to Friday 11th August 2017 @ £350.00 for 5 day intensive NON-RESIDENTIAL course

**********

Girls Netball Course

October Half-Term 2016 Course (AGES 8 - 14):
Monday 24th & Tuesday 25th October 2016 @ £100.00 for 2 day intensive course

Christmas 2016 Course (AGES 8 - 14):
Wednesday 21st & Thursday 22nd December 2016 @ £100.00 for 2 day intensive course

**********

Boys Cricket Course

Easter 2017 Course (AGES 8 - 14):
FULLY BOOKED, NO SPACES REMAINING

**********

Boys Rugby Course

Summer 2017 Course (AGES 8 - 14):
Monday 7th to Friday 11th August 2017 @ £350.00 for 5 day intensive NON-RESIDENTIAL course

**********


Payment

Payment can be made by credit/debit card, in the form of the full-balance, or £250.00 deposit (for summer courses only). The balance for summer courses is to be paid no later than 4 weeks before the course start date.

To make payment by credit/debit card, please call us on +44 117 3157 143 once you have submitted this form.

Please tick here to confirm that you have read and agree to the terms and conditions as shown at www.ccsl-cliftoncollege.com/residential-sports-courses/terms-and-conditions

Security question: Please enter the characters shown below

captcha