Individual Registration

Please enter information in the form below to process registration for event Grimsdyke School Year 5 Multi-Sports.

Child's name *

Address *

Contact number *

Contact number (2)

Email *

Medical requirements or special educational needs

My child can walk home alone *

Yes

My child can be photographed *

Yes

Would you like to hear about future Funweeks? *

Yes

Child's Age *

Child's Year Group *

Payment Information

Please note that we use PayPal to handle your payment, safely and securely. However, you do not need a PayPal account, you can use a Debit or Credit card.

Amount

Payment Method

Paypal

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*