CRAIG’S COACHING APPLICATION FORM

1. CRAIG’S COACHING APPLICATION FORM Name_________________________________________________ Age____________ Contact Home No_______________________________________________________ Mobile No_____________________________________________________________ Address______________________________________________________________ ___________________________________________Postcode__________________ E-mail________________________________________________________________ Dates To Attend – please circle below 9-310-3 10-12 1-3 Bluecoat Junior School 30 / 31 JUL 19 / 20 AUG Finchale Primary School 22 / 23 JUL 21 / 22 AUG Framwellgate Moor Comp 5 / 6 / 28 / 29 / 30 AUG Bluecoat Junior School 1 / 2 AUG Esh Village Hall 23/24 JUL 8/9 / 19/20 AUG Langley Park Cricket Club 12 / 13 / 14 / 14 / 16 AUG Sacriston Infant/Juniors 25/26 JUL 7 / 27 / 28 AUG SUMMER HOLIDAY PROGRAMME 2013 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 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 COURSE IS NOT TO GO AHEAD. HALF DAYS 10.00-12.00PM OR 1.00-3.00PM = £5 PER HALFDAY SESSION BOOK 5 DAYS OR MORE BEFORE 12TH JULY AND RECEIVE £5 DEDUCTION FROM FINAL BILL AMOUNT PRICE STRUCTURE AND SPECIAL OFFER APPLIES TO EACH CHILD ATTENDING Courses open to children aged 4-11 years old all children will need is a packed lunch/plenty of drinks and suitable clothing and footwear. Please note that all courses are indoors/outdoors so trainers are needed. 9.00-10.00AM involves play equipment such as giant board games, computer shoot out, soft play and the new inflatable penalty shootout. To register your child fill in this form and return with payment to- Craig’s Coaching, 7 Beech Close, Brasside, Durham, DH1 5YB. Payment can be in form of cash/cheque please make cheques payable to CRAIG’S COACHING FURTHER INFO CALL CRAIG ON 07525492385 OR E-MAIL CRAIGSCOACHING@YAHOO.co.uk WWW.CRAIGSCOACHING.COM