After School Programme Parent Name* Phone*Email* Add a line per child*NameDate Of BirthSchool Class/YearPreferred Days Add a line per childClaremont Railway LTC Member?*Claremont Railway LTC Member? Yes No Message (optional)Photo / Video Consent*We sometimes take pictures and videos of drills and fun games during junior coaching sessions. These are primarily used for coach education and occasionally for promotional purposes online, please let us know below if you are ok with this. Consent must be provided by the person with parental responsibility. If you have any queries please contact Will Wilshere email@example.com Yes No Email me about upcoming junior coaching programmes*Email me about upcoming junior coaching programmes Already Subscribed Yes No CommentsThis field is for validation purposes and should be left unchanged.