Name: ........................................................................................................
Address:................................................................................................................................
Postcode: ....................................Email: ....................................................
Contact telephone number:..........................................................................
Date of  Birth:.......................................     Age: .........................................

Days participating - Tues/Wed/Thurs (Circle applicable)
Amount of payment enclosed  £..............(£20.00 per day, £50 for 3 days)
(Please make cheques payable to Eagle Sports Academy)

 Please return with payment to: Eagle Sports Academy, Glebe House School, 2 Cromer Road, Hunstanton, Norfolk, PE36 6HW