Year 4, 5 & 6 / Multi Sports Club (Tuesday) – Kington St Michael Primary School

September 7, 2021 - December 7, 2021

3pm - 4pm

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 Ollie and will enable participants to develop their skills in a variety of sports in a fun and safe environment.

Β£4 per session | Β£50 for 13 week programme (10% sibling discount)

Sessions every Tuesday (3pm to 4pm) starting on Tuesday 7th September and finishing on Tuesday 7th December 2021.

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

Age group: Year 4, 5 & 6

Ability: All

Year 4, 5 & 6  /  Multi Sports Club  (Tuesday)  –  Kington St Michael Primary School

BOOKING FORM

Number of children

Sessions*

Tuesdays

TOTAL: £0.00

PAYMENT METHOD

Bank Transfer

Pay with Cash or Cheque

CHILDREN DETAILS

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

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Date of Birth* (dd/mm/yyyy)

Age

School

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Date of Birth* (dd/mm/yyyy)

Age

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Date of Birth* (dd/mm/yyyy)

Age

School

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Date of Birth* (dd/mm/yyyy)

Age

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Name*

Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

Age

School

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Date of Birth* (dd/mm/yyyy)

Age

School

Name*

Date of Birth* (dd/mm/yyyy)

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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?*

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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

Kington St Michael School
The Ridings
Kington St Michael
Chippenham
Wiltshire, England, SN14 6JG

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