Parent / Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Child's name *

First Name

Last Name

Child's date of birth *

MM

DD

YYYY

Which days do you want to attend?

Week 1: Monday 7 April (7-10 years)

Week 1: Tuesday 8 April (7-10 years)

Week 1: Wednesday 9 April (11-13 years)

Week 1: Thursday 10 April (11 - 13 years)

Week 2: Monday 14 April (7-10 years)

Week 2: Tuesday 15 April (7-10 years)

Week 2: Wednesday 16 April (11-13 years)

Week 2: Thursday 17 April (11-13 years)

Do you give permission for photos / videos being taken of your child which may be used on the Smash Padel website, social media and marketing material?

Yes

No