Book a Feeba Session

Please use the form below to sign up for a Feeba After School Club Session!

Further details specific to the session you have signed up for will be sent to your email address at the start of term upon form completion!

Childs Name *

First

Last

What year group will the child be in?Year 1Year 2Year 3Year 4Year 5Year 6

Session *Colden Common Years 1-3 WednesdaysColden Common Years 4-6 MondaysWestgate Years 1-3 FridaysWestgate Years 4-6 WednesdaysTuesday Excel Sessions

Please select which session you wish to book your child onto

Email *

Email address that you would like to receive the session information to

Emergency Contact Name *

Emergency Contact's Mobile Number *

Please enter a mobile or telephone number we can use to contact a parent or carer in the case of an emergency.

Name of nominated parent / carer(s) for pick up: *

Please let us know who to expect when picking up your child

Does your child have any specific medical conditions requiring medical treatment that you feel our coaches should be aware of? *

• Yes
• No

If yes, please provide further details and any medication needed

I give my consent that if an emergency medical situation arises, the organisation and coaches may act as loco parentis if the need arises for administration of first aid and/or other medical treatment. I also understand that in such circumstances that all reasonable steps are made. *

• Yes I consent
• No I don’t consent

I give my consent for photos & videos to be taken of my child and used by Feeba Football on social media and in promotional activities in accordance with safeguarding guidelines. This includes no names or ages being referenced with any images. *

• Yes I consent
• No I don’t consent

I would like to receive information from Feeba Football about other services they run, such as invitation training sessions and school holiday football camps *

• Yes I consent
• No I don’t consent

Print Signature *

Submit