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 *

If school is listed as FULL, you will be placed on the waiting list and contacted when a space becomes available.

Date of requested trial