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St Pats – Student Enrolment Form

    Student Name (required)

    Age (required if under 18)

    Date of Birth (required if under 18)

    Parent Name (required if student is under 18)

    Mobile Phone No (required)

    Parent Email (required)

    Playing Experience

    BeginnerPreviously CoachedSocial PlayerCompetition Player

    Student School (required if under 18)

    Medical Conditions (ADHD, allergies etc)

    Preferred lesson type

    Boys & Girls Group CoachingLadies CoachingPrivate CoachingAdult Group LessonsHome Coaching

    Preferred coaching days


    Preferred coaching time

    4:15pm5:00pm5:45pmSaturday Morning

    Further information