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CRAIG’S COACHING ESH DANCE APPLICATION FORM

CRAIG’S COACHING ESH DANCE APPLICATION FORM Name_________________________________________________ Age____________ Contact Home No_______________________________________________________ Mobile No_____________________________________________________________

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CRAIG’S COACHING ESH DANCE APPLICATION FORM

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  1. CRAIG’S COACHING ESH DANCE APPLICATION FORM Name_________________________________________________ Age____________ Contact Home No_______________________________________________________ Mobile No_____________________________________________________________ Address______________________________________________________________ ___________________________________________Postcode__________________ E-mail________________________________________________________________ Please tick dates to attend 30th OCT 1ST NOV DANCE 1/2 TERM HOLIDAY CLUBS ASHLEY FROM CRAIG’S COACHING WILL BE RUNNING DANCE HOLIDAY COURSES FOR CHILDREN AGED 4-11. CHILDREN FROM ANY PRIMARY SCHOOL CAN APLLY PLACES ARE LIMITED AND WILL BE ALLOCATED ON A FIRST COME FIRST SERVED BASIS SO PLEASE BE ADVISED TO BOOK EARLY. MEDICAL CONSENT FORM Medical conditions ___________________________________________________________ Details of any current medication________________________________________________ We the undersigned, in consideration of our child’s participation in the Craig’s Coaching program and the information supplied on the application form we agree to the following: My child is in good health and I consider them capable of taking part in the Multisport /Football/ Dance programme. I have completed the application form where I have listed any medical conditions and details of any medication taken whilst my child is on the Craig’s Coaching programme. In the event of illness or accident, I consent to any 1st aid treatment necessary given to my child whilst on the Craig’s Coaching programme. Photographs taken by Craig’s Coaching can be used for publicity purposes. Please note that Craig’s Coaching cannot be liable for any personal loss or injury that any child sustains whilst on the programme and it is parents/guardians responsibility to inform Craig’s Coaching of any medical conditions that could affect their child’s participation. Parent/Guardian’s Name_______________________________________ Signature_______________________________ Date________________ PLEASE NOTE YOU WILL RECEIVE NO CONFIRMATION, CRAIG’S COACHING WILL NOTIFY YOU IF YOUR CHILD DOES NOT GAIN A PLACE ON THE COURSE. WED 30TH OCT – ESH VILLAGE HALL FRI 1ST NOV – SACRISTON INFANT / JUNIORS 10.00-3.00PM ONLY £8 Courses open to children aged 4-11 years old, children will need a packed lunch/plenty of drinks and suitable clothing and footwear. To register your child fill in this form and return to St Michaels / Esh Village Primary / Sacriston Infants / Juniors School reception or alternatively send to- Craig’s Coaching, 7 Beech Close, Brasside, Durham, DH1 5YB. FURTHER INFO CALL CRAIG ON 07525492385 OR E-MAIL CRAIGSCOACHING@YAHOO.CO.UK WWW.CRAIGSCOACHING.COM

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