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

MondayWednesdayFridaySaturday

Preferred coaching time

4:15pm5:00pm5:45pmSaturday Morning

Further information