Holiday Course Booking Form...

To book your child onto a course please fill out this form in full and send with a cheque payable to Extra Time. Please post to:

Jonathan Pearson, 2 Coronation Villas, Main Road, Bamford, Hope Valley, Derbyshire, S33 0AY

Write your child's name on the back of the cheque. Feel free to call Jon Pearson on 07789 114779 or email for more information or to check availability. Please include a self-addressed envelope with stamp if you need a receipt. To check the details and dates of courses just click here.

If you would prefer to pay securely online click the button below:

Pay securely with Google Checkout

Please complete this Booking Form and print it out using the button or from the browser window:

Date Of Birth
Address Details:
House/Flat No.
Address 1
Address 2
Post Code
Contact Telephone numbers for the day:
Contact No 1
Contact No 2
Email address
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
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 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.