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Kids Summer School...
Registration Form

NAME: ______________________

ADDRESS: _______________________

________________________________

________________________________

________________________________

TEL NO.:_________________________

Mobile NO.:_______________________

Email:____________________________

M/F:_____________________________

Medical Conditions: _________________

_____Juniors AM session

_____Juniors PM session

_____Intermediates AM session

_____Intermediates PM session

_____Seniors AM session

_____Seniors PM session

Have you previously attended ROX? Yes/No

Payment enclosed £62.50 Sibling Discount 2nd Child £56.25 (full fee must be enclosed with form)

Parent/Guardian Signature:

Date: __ __ / __ __ / __ __

 
     
 
 
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