Book Online

To book a child's place with Zig Zag Coaching, please fill in the online booking form below. Alternatively if you wish to download and post a copy of this form to us, please do so by following the link at the bottom of this page and then posting the form to us to the address located on the 'Contact Us' section of this website.
* Indicates required fields

 Please tick as required:

Weekly Sessions: Multi Sports Every Wednesday from 12th May - 14th July (excludes 2nd June)
£2.50 per session payable @ session

June Half Term Multi Sports Monday 31st May - Friday 4th June £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

June Football in Malvern Wednesday 2nd to Friday 4th June £40.00

Summer Holiday (Malvern) Multi Sports (Week 1) Monday 26th July - Friday 30th July £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

Summer Holiday (Malvern) Multi Sports (Week 2) Monday 2nd August - Friday 6th August £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

Summer Holiday (Malvern) Multi Sports (Week 3) Monday 9th August - Friday 13th August £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

Summer Holiday (Malvern) Multi Sports (Week 4) Monday 16th August - Friday 20th August £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

Summer Holiday (Malvern) Multi Sports (Week 5) Monday 23rd August - Friday 27th August £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

Summer Holiday (Malvern) Multi Sports (Week 6) Monday 30th August - Friday 3rd September £10 per day / £45 for the week
Monday Tuesday Wednesday Thursday Friday

Football (Malvern) Monday 26th July - Friday 6th August (2 Weeks) £60 per week / £110 for both weeks
Week 1 Week 2

August Football Wyre Forest: Monday 9th August - Friday 13th August £15 per day / £60 for the whole course
Monday Tuesday Wednesday Thursday Friday

Child's Full Name*

Home Address 1*

Home Address 2

City*

County

Post Code*

E-Mail

Tel*

D.O.B.*

Gender*
Male Female

Ethnic Origin*
White
Chinese
Black African
Black Caribbean
Black Other
Pakistani
Indian
Other Specify


Medical Details (e.g. Asthma)



Emercency Parent/Carer Details

Title*

First Name*

Last Name*

Emergency Tel*

Mobile


I DO NOT wish my child to be photographed?

Parent/Carer Concent

In the event my child is injured playing football and I cannot be contacted on the above number(s), I hereby give my consent for my child to receive medical attention? (please tick)

I hereby certify that all the above information is correct. I accept the code of conduct and give permission for my child to attend Zig Zag Coaching courses? (please tick)*

How Would you like to Pay?*
Pay Online (£3 Booking Fee Applies) Send Payment by Post


Related Resource:
Zig Zag Booking Form (File Download)