dpd sports coaching services - swimming crash courses, swim schools, private swimming lessons, sussex, surrey, uk
dpd sports coaching services - swimming crash courses, swim schools, private swimming lessons, sussex, surrey, uk
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Whizz Kids @ The Grange Leisure Centre
Midhurst 2012 Booking Form
VenueWhat we dodates and pricesfaqsterms and conditionsonline booking form
asterisk (*) denotes required field
Parent Details
Title :
* First Name :
* Surname:

* Address:
Telephone (evening):
* Telephone (day):
* E-mail:

Children's Details
* First Name:
* Surname:
Sex:
* Date of Birth:
Age at time of booking:
Current school:
Where did you find us:

Days Required Each Week (Please specify)
Date Mon Tues Wed Thur Fri Sub Total
13th - 19th Feb 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
2nd - 8th April 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
9th - 15th April 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
4th - 10th June 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
23th - 29th July 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
30th July - 5th Aug 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
6th - 12th Aug 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
13th - 19th Aug 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
20th - 26th Aug 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
29th Oct - 4th Nov 2012 £
• Early Birds £2 per day £
• Late Leavers £2.50 per day £
Insurance £1.50 per day £
BOOK 10 DAYS AT FULL PRICE AND RECEIVE THE 11th DAY FREE £
Total Costs           £
My friend
(Best friend at Whizz Kids):
Refer a friend and
receive a free day

* Please see terms and conditions below
Payment Type :
       (3.5% surcharge applies)
By submitting this form I agree to the terms and conditions and I am over 18 years old. Which ever way you have chosen to pay we must have recieved the payment in full three weeks prior to club starting, if that day has passed please forward payment in full asap (cheques payable to DPD Coaching Services) to the address below.
* Refer a friend who is not currently on our database who books a day or more and you will recieve a free day of your choice (you must book a minimum of five days). We will email you if you are not legible for this offer.
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DPD Coaching Services
Woodside • 4 Melrose Place • Storrington • West Sussex • RH20 3HH
Tel/Fax: 01903 740020 • Email: mail@dpdcoaching.co.uk

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