Athletics Club (Year 4) – St Patrick’s Catholic Primary, Corsham

June 13, 2022 - July 18, 2022

3.15 - 4.15pm

The club will be run by Lewis and will cover the FUNdamentals of movement and the basic athletic and physical skills that will stand children in good stead across all sports, not just athletics.

The club will look to develop the skills required for various athletic disciplines – Running at speed and over hurdles; Running for distance; Jumping for height and for distance; Throwing

There will be a limited number of places available.

The course will run for 6 weeks – Monday 13th June until Monday 18th July 2022

Age group: Year 4

Ability: All

Athletics Club (Year 4) – St Patrick’s Catholic Primary, Corsham

BOOKING FORM

Number of children

Sessions*

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?*

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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

St Patrick's Catholic Primary School
Lacock Road
Corsham
Wiltshire
SN13 9HS

DIRECTIONS

Athletics Club (Year 4) – St Patrick’s Catholic Primary, Corsham

June 13, 2022 - July 18, 2022

3.15 - 4.15pm

BOOKING FORM

Number of children

Sessions*

TOTAL: £0.00

PAYMENT METHOD

CHILDREN DETAILS

CONTACT DETAILS

DECLARATION

Location

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