Course Booking Form

Check DatesTo book your child onto a course please complete and submit the form below:

    Name of Parent/Carer (*)

    Address (*)

    Postcode (*)

    Your Email (*)

    Emergency Telephone Number(*)

    Name of child (*)

    Date of Birth of child (*)

    Age of child (*)

    School

    Medical Information

    Dates of the course you would like to book Check Dates (page opens in new window)

    Days Attending
    MonTueWedThuFri

    At Top Rank Coaching we will occasionally take photos of the children for future publicity. Please state whether you give consent for your child to have their picture taken whilst on the course?
    YesNo

    Payment
    Please make cheques payable to 'Jamie Rank' and send to Jamie Rank, 39 Godwinsway, Stamford Bridge, York, YO41 1DA. Cash payments can be made on the first day of the course.

     
     

    Kit you will need
    • Football Boots / Trainers
    • Shin pads
    • Drink
    • Packed lunch
    • Waterproof clothing
    • Sunscreen
    • Change for tuck shop
    Birthday Parties
    If your child is football mad, we also offer football-themed birthday party entertainment.
    Venue Details
    Stamford Bridge Playing Fields
    Low Catton Road
    Stamford Bridge
    York
    YO41 1DZ
     
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