Termly Class Booking Form

1st Family Member Full Name*

Sibling Full Name

Email*

Phone*

Student(s) School Class(es) Name and Number*

Medical information, such as Allergies and Asthma (Please 'None' if there are no allergies or asthma).*

This is a checkbox.

We ask that you inform us if your child has any special educational needs(SEN) or physical disabilities. If there are none, please state "None."*

Who is authorized to collect your child?*

Class(es) You are Booking*

Mondays 3 - 4:30pm

Mondays 3 - 5:15pm

Mondays 5:30 - 6:45pm

Mondays 6:45 - 8pm

Tuesdays 3 - 4:30pm

Tuesdays 3 - 5:15pm

Tuesdays (SEN) 5:20 - 5:50pm

Tuesdays 6:45 - 8pm

Fridays 2:15 - 4:15pm

Fridays 2:15 - 4:45pm

Fridays 5:30 - 6:45pm

Fridays 6:45 - 8pm

Saturdays 9 - 10:15am

Saturdays 10 - 11:15am

Saturdays Black Belt Class

I acknowledge that fees are non-refundable and non-transferable.

I have reviewed the complete Information Section for the class(es) I am booking.

I understand that parents must check the SHMA website for all student information, and if they need to contact SHMA, they should use the Contact Us form on the website.

I recognize that our contact number (07714 425883) is intended solely for notifying us about changes in student collection or if a student is missing class.

I know that I can absolutely reach out to SHMA if the information isn’t available on the website or if I need to notify the class instructor about a personal matter regarding my child (such as an injury).

Please add Total to Pay (If paying class holding deposit its £50)

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