Colerne Primary School – Year 1 & 2 / Multi Sports Club (Thursdays)

September 16, 2021 - December 9, 2021

3.30 - 4.30pm

The Multi Sports club will cover a variety of sports and exciting games to build confidence, social skills and improve fitness.

The club will be run by Stuart and will enable participants to develop their skills in a variety of sports in a fun and safe environment.

The course will run for 11 weeks starting Thursday 16th September 2021 until Thursday 9th December from 3.30 – 4.30pm.

Government Guidelines regarding COVID-19 will be adhered to at all times throughout the course (subject to change).

Age group: Year 1 & 2

Ability: All

Colerne Primary School – Year 1 & 2 / Multi Sports Club (Thursdays)

BOOKING FORM

Number of children

Sessions*

Thursdays

TOTAL: £0.00

PAYMENT METHOD

Bank Transfer

Pay with Cash or Cheque

CHILDREN DETAILS

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Any Special Requirements*

CONTACT DETAILS

Parent's Name*

Address

Postcode

Mobile No*

Email*

Confirm email*

Emergency Contact Name*

Telephone*

DECLARATION

I give permission for my son/daughter to participate in the Up & Under Sports Development Courses on the dates indicated above. I acknowledge that participation in this programme is undertaken at own risk. I understand that no liability of personal injury, loss or damage to personal effects is accepted by Up & Under Sports, or its coaches whilst attending this programme. I acknowledge and comply with Up & Under Sports rules for the course.

I give permission for my child to receive any medical treatment necessary*

I give permission for photographs to be taken of my son or daughter as promotional material*

I give Up & Under Sports permission to be keep me informed of future Holiday Courses via email*

Verification: What is thirteen minus 6?*

Verification failed, please review your answer above

At least one day needs to be selected

I allow Up & Under Sports to store my information in this form for Booking purposes and contact me via email regarding my Booking*.

After submitting the completed form, you will receive email confirmation of your booking.

Location

Colerne Primary School
Quarry Lane
Chippenham
SN14 8DU

DIRECTIONS