www.public-arena.co.uk

01223 881272

Booking form

Please complete and then detach and send to:

18 Hinton Rd., Fulbourn, Cambridge CB21 5DZ

Child’s name……………………………………………………………………………….

Age…………………………...DOB…………………………………………………………

Address….……………………………………………………………………………………

……………………………………………………………………………………………………….

Tel:…………………………………………………………………………………………………

Emergency contact nos. (if different from above)

………………………………………………………………………………………………………

Any medical condition we should know about

………………………………………………………...................................................

Where did you hear about us?....................................................

I do/ do not give permission for my child to be photographed for the purposes of
Public Arena’s publicity. (Photos may be used on flyers or on our website,
no names will be printed) please delete as applicable:

I confirm that I would like to book my child/ren onto

(please state which course)

and enclose full payment of £

Please make cheques payable to Public Arena

Signed………………………………………………...Name……………………………………………