Online Courses Enrolment Form - Leisure Centre, football, sports, fitness, health club, Milton Keynes, Shenley Leisure Centre

Childs user card number: *
Parents user card number: *
Emergency contact number 1: *
Emergency contact number 2: *
Emergency contact number 3:
Please tick the courses you wish to attend: *	Gymnastics 5-16yrs Mon 17.30-18.30 Trampolining 5-14yrs Tue 17.30-19.00 Squash 9-16yrs Wed 18.00-18.45 Trampolining Thursday 18.00-19.00 Trampolining Thursday 19.00-20.00 Trampolining 12+yrs Thursday 20.00-21.00 Football Factory 4-6yrs Saturday 09.30-10.30 Football Factory 7-10yrs Saturday 10.30-11.30 Badminton Bronze 5-14yrs Sat 09.30-10.30 Badminton Silver 5-14yrs Sat 10.30-11.30 Badminton Gold 5-14 yrs Sat 11.30-12.30 Archery 8-16yrs Sun 17.30- 19.00 Archery Adults 16+ Sun 17.30-1900
Please tick the block you wish to attend: *	Block 1 Start date 23/04/12 Block 2 Start date 11/06/12 Block 3 Start date 10/09/12 Block 4 Start date 05/11/12 Block 5 Start date 07/01/13 Block 6 Start date 25/02/13

Online Course Enrolment Form