Registration Form

HomeRegistration Form

Registration Form

Please complete the form below to register your child:

Your Childs Details (required)





Parents/Guardians Details (required)











Alternative emergency contact (Please include name and contact telephone number)





Medical Information






 

Permissions

In order for your child to take part in our sessions, we will require a number of signatures and your permission. Please print the PDF attached and bring this with you to your next session. Alternatively we can provide a copy of this at your next session if you ask your coach.

Download Permissions Slip

 

MICA - Mark Innes Coaching Academy

Oldham Academy North

Every Saturday

  • Broadway, Royton, OL2 5FG
  • 07766 374 605
  • info@micacoaching.co.uk

Crompton House School

Every Friday

  • Rochdale Road, Shaw, Oldham, OL2 7HS
  • 07766 374 605
  • info@micacoaching.co.uk