England Sports Group

Tel. 0800 043 0707

Location/Club

Course/Camp

Do not hesitate to contact our team on:
info@englandsportsgroup.com

The Privilege Card application form
The card is valid for one year form the date of purchuse and covers the entire family at the cost of £25.

Mother's name:
Father's name:
Family name: *
Place:
Address: *
Town: *
County: *
Postcode: *
Country:

Email: *
Contact number:
Emergency tel/mobile: *

1st child's name:
	Female Male
Date of birth:
Medical conditions:

2nd child's name:
	Female Male
Date of birth:
Medical conditions:

3rd child's name:
	Female Male
Date of birth:
Medical conditions:

4th child's name:
	Female Male
Date of birth:
Medical conditions: