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Reference

School Name Childs Name School Year

Details of any medical conditions / disabilities / behavioural traits that may affect your child
Name of Parent / Guardian Emergency Contact Number Correspondence details (preferably email or address)

Terms & Conditions
  1. Coachmark will not take responsibility for any loss of damage of personal belongings
  2. Photographs taken at Coachmark Clubs remain property of Coachmark
  3. Cancellations will not be accepted
Please tick to say you have read the Terms & Conditions of this booking
Please tick to authorise Coachmark to take photos of your child within guidelines set by the
      Rugby Football Union

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