Holiday Course Booking Form...

To book your child onto a course please fill out this form in full and click SUBMIT BOOKING to pay surely via Google Checkout.:

If you would prefer to post a cheque, click the button below to visit the cheque payment page
'PAY BY CHEQUE' button.

Pay by cheque

Feel free to call Jon Pearson on 07789 114779 or email jon@extratimecoaching.co.uk for more information or to check availability.

Please complete this Booking Form and click 'Submit Booking'. Your booking is not confirmed until you have completed the Google Checkout process.

Name
Gender
Date Of Birth
Address Details:
House/Flat No.
Address 1
Address 2
Town
County
Post Code
Contact Telephone numbers for the day:
Contact Name
Contact No 1
Contact No 2
Email address
School
Please write date and time of course to be attended and whether it's for football, multisports or gymnastics (for example: Football, North Wales Area, Ruthin, Two Full Days):
Course Date
Sport
Location
No. of Days
Please specify any medical conditions or disabilities:
Medical Conditions
Please specify how your child will get home:
Home Transportation
Please sign to confirm permission for your child to attend and basic emergency aid to be applied if necessary:

Signature           __________________________________________________

Prices:

Prices for advance bookings New on the day prices
Five days £60 Five days £70
Five half days £36 Five half days £40
Four days £50 Four days £58
Four half days £32 Four half days £34
Three days £40 Three days £46
Three half days £26 Three half days £28
Two days £28 Two days: £32
Two half days £18 Two half days £20
One day £16 One day £18
Half day £10 Half day £12

Early drop off is available from 8:40am (£1 extra per day).

Cash is also accepted.

Extra Time