Easter Courses 2018 Booking Form

Name of Child*

Age*

Date of Birth*

Contact Name and Number

Alternative Contact Number (in the case of an emergency)

Email*

Address*

Medical Conditions / Allergies*

Please tick the required course and payment option

Mosaic Course – 4 days Monday 9 – Thursday 12 April (Suitable for ages 9-GCSE) - 9am-3pm - £180

I would like to pay £180 by BACS transfer Vinehall School Ltd / Sort Code: 60-10-15 / Account no: 60781785 (please use Ref MCLT18 + surname)Please send a cheque made payable to Vinehall School Ltd for £180 (please use Ref MCLT18 + surname)

Textiles Course – 2 days 13 – 14 April (Friday – Saturday) - (Suitable for ages 9-GCSE) - 10am-4pm - £100
Course duration required
One DayTwo Day

I would like to pay £ 100 by BACS transfer (or £50 per individual day Vinehall School Ltd / Sort Code: 60-10-15 / Account no: 60781785 (please use Ref TCLT18 + surname)
£50£100

Please send a cheque made payable to Vinehall School Ltd for £100/£50 per individual day (please use Ref TCLT18 + surname)
£50£100

Football Course – 3 days 26 – 28 March (Monday – Tuesday – Wednesday) - (Suitable for ages 6-13) - 10am-3pm - £45

Course duration required
MondayMoney & TuesdayMonday & WednesdayTuesdayTuesday & WednesdayWednesdayAll 3 days

I would like to pay £45 by BACS transfer (or £15 per individual day) Vinehall School Ltd / Sort Code: 60-10-15 / Account no: 60781785 (please use Ref FCLT18 + surname)
£15£30£45

Please send a cheque made payable to Vinehall School Ltd for £45/£15 per individual day (please use Ref FCLT18 + surname)
£15£30£45

Tennis Course – 2 days - Wedensday 28th – Thursday 29th March
Mini's - ages 4 - 6 - 9am - 10am - £15Ages 7 - 13 - 10am - 12pm - £30

I would like to pay £15 for Mini's or £30 for 7-13 by BACS transfer Vinehall School Ltd / Sort Code: 60-10-15 / Account no: 60781785 (please use Ref TENLT18 + surname)
£15£30£45

Please send a cheque made payable to Vinehall School Ltd for £15 for Mini's or £30 for 7-13 (please use Ref TENLT18 + surname)
£15£30£45

Places confirmed by receipt of payment

Name*:

Date*:

I understand place confirmed by receipt of payment