After School Club Trial Request Page

Please complete the form below to book your child’s free trial in our After School Club Programme:

Child's Name *

First

Last

Child's Date of Birth *

Parent's Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Medical Conditions *

School Club *

Bishop’s Waltham Infant (Monday)
Bishop’s Waltham Junior (Tuesday)
Netley Abbey Junior (Wednesday)
Hamble Primary (Thursday)

Date of requested trial