October Course for Children Step 1 of 5 - Your Details20%Your DetailsYour Name* First Last Your Email Address* Your Address* Street Address Address Line 2 City Postcode Telephone number(s)Emergency Contact*Emergency Contact Phone Number* Do you have a coupon code?Please enter it now, you won't be able to enter it later on.Product NameHow many students would you like to book for?*1234£185 per student or £165 per child for multiple siblings. Early booking discount £165 until 30th September.Total £ 0.00 StudentStudent Full Name*Student Date of Birth* Date Format: DD slash MM slash YYYY Student Gender*Student School & Year*Adult's relationship to Student*Water and juice drinks will be provided, please let us know if your child is not allowed juice drinks.Does the student suffer from any other allergies?Student Dietary Restrictions or Food Allergies*Student 2Student 2 Full Name*Student 2 Date of Birth* Date Format: DD slash MM slash YYYY Student 2 Gender*Student 2 School & Year*Adult's relationship to Student 2*Student 2 Dietary Restrictions or Food Allergies*Student 3Student 3 Full Name*Student 3 Date of Birth* Date Format: DD slash MM slash YYYY Student 3 Gender*Student 3 School & Year*Adult's relationship to Student 3*Student 3 Dietary Restrictions or Food Allergies*Student 4Student 4 Full Name*Student 4 Date of Birth* Date Format: DD slash MM slash YYYY Student 4 Gender*Student 4 School & Year*Adult's relationship to Student 4*Student 4 Dietary Restrictions or Food Allergies* It is a legal requirement that we request your permission to photograph your children whilst receiving etiquette coaching or training from Polished Manners.We may wish to take photographs or film the children’s activities during coaching or training sessions (for some publicity purposes).Your co-operation will be much appreciated.Permission to photograph*I agree to my children being photographed or the use of a film recorder for the above purpose whilst attending a coaching or training session.I do not agree to my children being photographed or the use of a film recorder for the above purpose whilst attending a coaching or training session. Cancellations PolicyAny cancellations received 14 days before the programme is refundable, less a £25 cancellation fee.Any cancellations received less than 14 days before the programme are not refundable.In order to cover expenses including food and venue hire charges, the programme may be cancelled due to an insufficient number of registered students. In the event of cancellation, full refunds will be issued.Total £ 0.00 Please make your payment to:Metro Bank Sort Code: 23-05-80 Account Name: Polished Manners Limited Account No: 17328107 Reference: Your Last Name This iframe contains the logic required to handle Ajax powered Gravity Forms.