Course Registration — Harborne Football Coaching

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Course Registration Form

To register your child/children to our courses, please fill out the form to the left in full and complete payment after.

Payment

When booking, please send payment for the booking with the first initial of the child followed by first 3 of the last name and first 3 letters of the course you have registered for.

Booking example:

Booking for Joe Smith in Harborne:
Booking Reference: J.SmithHAR

Please send payment in full to the following details:

Account Number: 55821258
Sort Code: 60-83-71
Name: Harborne Football Coaching Ltd

Amount:

Droitwich

£98 for 14 weeks or payment of £49 for 7 weeks. Sibling price in total is £91 for 7 weeks or £182 for 14 weeks

Erdington

£112 for 14 weeks or payment of £56 for 7 weeks. Sibling price in total is £98 for 7 weeks or £198 for 14 weeks

Bartley Green

£112 for 14 weeks or payment of £56 for 7 weeks. Sibling price in total is £98 for 7 weeks or £198 for 14 weeks

Kidderminster

£98 for 14 weeks or payment of £49 for 7 weeks. Sibling price in total is £91 for 7 weeks or £182 for 14 weeks

Harborne

£112 for 14 weeks or payment of £56 for 7 weeks. Sibling price in total is £98 for 7 weeks or £198 for 14 weeks

Halesowen

£98 for 14 weeks or payment of £49 for 7 weeks. Sibling price in total is £91 for 7 weeks or £182 for 14 weeks

Course Selection

Please select the course you wish to register your child for

Parent/Guardian Name

First Name

Last Name

Contact Phone

(###)

###

####

Emergency Contact Number

(###)

###

####

Medical Information

If your child has any medical conditions we should know about, please provide crucial information below

Child One Name

First Name

Last Name

Date Of Birth

MM

DD

YYYY

Age

(Number)

Child Two Name

First Name

Last Name

Date Of Birth

MM

DD

YYYY

Age

(Number)

Child Three Name

First Name

Last Name

Date Of Birth

MM

DD

YYYY

Age

Child Four Name

First Name

Last Name

Date Of Birth

MM

DD

YYYY

Age

(Number)

Contact us today! Click your preferred icon to book or for any further enquiries!