Holiday Sports Club

SPORTS CLUB
MULTI-SPORTS ACTIVITY SESSIONS
FOR PRIMARY SCHOOL CHILDREN
19th & 20th February 2nd April
9th & 10th April 28th & 29th May
9am-3.30pm
£10 per day or £15 for two days
Activities based on the brand new MUGA pitch.
For advance bookings email franciss@grimsby.ac.uk
The disclosure form on the reverse must be completed and
given to one of the Sports Centre staff on arrival.
0800 315 002 | www.grimsby.ac.uk
GrimsbyInstitute |
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This form must be completed and signed by the Parent/Guardian of each child for them
to take part in a session.
Suitable clothing must be worn, packed lunch, water bottle and sunscreen must be provided.
Name:...................................................................................................................... Age:.........................................
Address:.......................................................................................................................................................................
.......................................................................................................................................................................................
................................................................................................................... Postcode:.............................................
Mobile:.........................................................................................................................................................................
Day time contact number:...................................................................................................................................
Medical details:.........................................................................................................................................................
.......................................................................................................................................................................................
Please provide details of medical condition and medication taken
Doctor:........................................................................................................................................................................
Contact number:.....................................................................................................................................................
Please provide details of your family Doctor:
.......................................................................................................................................................................................
.......................................................................................................................................................................................
.......................................................................................................................................................................................
In the event of my child being injured I give permission for my child
to receive medical attention. (please delete where applicable).
Yes / No
I give permission for my child to be included in photographs
taken by the Grimsby Institute and the press.
Yes / No
Children must be dropped off at 9am and picked up no later than 3.30pm.
Signed:.........................................................................................................................................................................
Name of Parent/Guardian:...................................................................................................................................
Date Attending:.........................................................................................................................................................
0800 315 002 | www.grimsby.ac.uk
GrimsbyInstitute |
@gifhe