3
2
Fun Games, Shokk Gym, Xbox Games and Dance Mats Tuesday 26 May | 1pm - 3pm | £2 Suitable for 5-11 years.
PG Sports Football Sessions at St Mary’s Tuesday 26 May - Friday 29 May 10am -12noon | £3 Contact Football Phil on 07979683999
1
Active Fundays Thursday 28 May 11am - 2pm | £3 A wide range of sporty activities including trampolining, fun games, SHOKK Gym & dance mats and creative arts session. BRING A PACK LUNCH
Weekly After School Sessions Tuesdays - Boxer Circuit 4.45pm-5.45pm | £3.20 | 5-15 years Wednesdays - Trampolining 4.30pm-5.30pm | £4 Saturdays - Trampolining / Shokk Gym and Fun Games 10am-1pm | £5.80 | 5-15 years (bring a packed lunch with you) Every Monday to Friday Shokk Gym / Dance Mats from 4.30pm | £1.80 per session or £9.00 per month on a casual monthly payment.
REF NO.
First Name: Male
OFFICE USE ONLY
Last Name: Female
Date of Birth:
Age:
Address: Postcode: Home Tel:
Mobile:
Email Address: School Attended:
School Year:
How did you find out about these activities? PARENT/CARER APPROVAL I give permission for the above named person to take part in these activities. In case of emergency I can be contacted on the following tel no. If I cannot be contacted any necessary medical treatment may be be given on the advice of a suitably qualified person. Signature of Parent/Carer:
Date:
Full Name:
Relationship:
Which ethnic group do you consider the child/young person belongs to? White
Mixed
Asian/Asian British
Black/Black British
Other
Does the child/young person have any long term illness, health problem or disability that limits his/her daily Yes No activities? If yes please specify: