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If you would like to apply for a course then please print out and complete the application below; or email me at applefootball@ntlworld.com for a Word document application to be sent for completion.

APPLE FOOTBALL SCHOOL APPLICATION FORM  

Please reserve me …….. place(s) for the, (Add in course details required below)

Apple Football School ..............................................................Course

......day ..../....../..... to ......day ...../....../..... at ..................................

I enclose a cheque for £………… made payable to Mr. C. Appleford  
 
Name of Child(ren):……………………………...…………………………..............................

School Child (ren) Attend:…….…..…………………………………………..........................

Parent / Guardian details:.……………………………………………………..........................

Address........................................................................        

...................................................................................                  

...................................................................................

Telephone Number(s):…...…………………………………………………..

Email:…………………………………...……………………………………

Date of Birth(s):……………………..………………………………………

Medical Details / Allergies:……………...…………………………………..

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

(Please provide us with a brief outline of any condition.  Please also indicate any medication that the child will need to take during the length of the course, e.g. inhalers for asthma etc)

Any Current Injury Details:………………………………………………….

Emergency Contact Details (Name / Contact Number etc)....………………

………………………..…..……………………………………………..…..

Who will be responsible for collecting the pupil:…………………………..

I confirm the above information is true and correct.  I will advise Apple Football School of any changes as soon as possible.  I understand and agree/accept the Apple Football School  ‘Terms and Conditions’.  

 
Signed:…………….……………………………….   

 
Print Name:…………………………………………………..

Date:………………………………………….

Please complete and return to;
Christian Appleford  - with the correct payment, payable to Mr. C. Appleford

by post to - 22 Kipling Road, Ipswich, Suffolk, IP1 6EW

or Email - applefootball@ntlworld.com (to provisionally book placement - course placement will be fully accepted upon receipt of payment in post)