The NCS programme is subject to availability. A member of the NCS team will confirm your place once the application form has been received.
Select your Programme*
---Spring 2017Summer 2017Autumn 2017
If you have selected our Summer programme, please specify your preferred wave.
---Wave 1 (3rd July – 28th July) SOLD OUTWave 2 (10th July – 4th Aug) SOLD OUTWave 3 (24th July – 18th Aug) SOLD OUTWave 4 (31st July – 25th Aug)Wave 5 (7th Aug – 1st Sept)
Should you find any of our waves to be sold out, please contact our NCS department direct on 01709 827767 and they will be able to advise you of your options.
If you are paying online/cheque, please specify the Name/Email of the account holder
Your PayPal Email
Mobile Telephone No.*
Home Telephone No.*
Male Female Trans-male Trans-female
Date Of Birth*
School / College Name*
Does the participant have any disabilities/medical needs? (Please Tick One)
Yes No Prefer Not To Say
If you have answered yes to any of the above, please give more details
Does the Participant face any specific issues or barriers to participating in activities? (Please tick all that apply)
Does not face any difficulties
Difficulty with numeracy or literacy History of offending History of truancy In or recently in care Rurally isolated Young carer Substance mis-use Teenage parent (including pregnant) A statement of special educational needs Other, please state Prefer not to say
Is the Participant eligible for free school / college meals? (Please Tick One)
The standard price of NCS Spring/Autumn Programme is £35 and the NCS Summer Programme price is £50, as a contribution towards the entire costs. Financial support to cover this fee may be available if required (for example if your son/daughter is entitled to free school / college meals). Please our NCS department for more information.
We take payments online or by cheque/cash. If you are paying online you will be automatically redirected to our payment website (Official Soccer Schools). If you are paying by Cheque, please make payable to: Rotherham United Community Sports Trust. Regardless of your payment method, upon receiving this application, a member of our NCS Department will be in touch to advise you of the next steps.
I confirm that the details I have provided are accurate and give permission for you to process this application.
Name of Signatory
Relationship to Participant
Address (if different to Participant's details)
Rotherham United Community Sports Trust
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