SIGN UP2018-11-27T16:14:18+00:00

E. info@r-kix.co.uk  T. 078874772626

SIGN UP

Sign for R-Kix today!

Kix start today by either by downloading and filling out the sign up sheet – download sign up pdf.
Or fill in the form below and we can contact you for your signature to complete the form.

AREA:

NAME OF SESSION (Wednesday 5-6pm, Holiday Camp etc):

CHILD NAME:

EMAIL:

CHILD D.O.B:

SEX:
MF

ADDRESS:

POSTCODE:

ANY INJURIES, ALLERGIES, DISABILITIES:

NEXT OF KIN 1:

NAME:

EMAIL:

CONTACT NUMBER - MOBILE:

WORK:

HOME:

ADDRESS:

POSTCODE:

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