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.

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.

Child's Name
Gender	Boy Girl
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	Frodsham, Frodsham Leisure Centre North Wales, Ruthin, Rhos Street School Herne Bay/Whitstable, Briary School Kelsall, Kelsall Primary School Hope Primary School
No. of Days	5 Full Days 5 Half Days 4 Full Days 4 Half Days 3 Full Days 3 Half Days 2 Full Days 2 Half Days 1 Full Day 1 Half Day
Please specify any medical conditions or disabilities:
Medical Conditions
Please specify how your child will get home:
Home Transportation

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.