Activities Register Please complete the form separately if you have more than one person attending. Applicant's Full Name *Applican't Parent/Carer Name *Email Address *Phone *Gender *Please select an optionMaleFemaleDate of Birth *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year21262125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927Course *Archery BoysArchery GirlsBaking & CookeryRoboticsSewingBoxing (Ages 4–6)Boxing (Ages 7–10)Boxing (Ages 11–15)Boxing (Ages 16+)Have you done this course before?Yes/NoYesNoTotal£Credit / Debit Card *Please note that course memberships run continuously throughout the term. Fees are divided into three equal instalments rather than paid per individual session. If you withdraw from a course before the end of term: Overpayments: Any fees paid in advance for unattended sessions following the cancellation date will be refunded. Underpayments: If the sessions attended exceed the amount paid via your instalments to date, the outstanding balance will be charged.Submit Get News & Updates Success! First Name Last Name Email Subscribe FollowFollowFollow Get In TouchLocation: Mayfield Road, Leicester, LE2 1LR Telephone: 0116 2966 444 Email: [email protected] Contact Us
