PARENTAL CONSENT FORM – Thursday 31st August 2017
Dear Parent,
We are offering children aged 7-16 the opportunity to attend a Netball Workshop on the 31st August 2017 at Cheltenham College.
This 1 day workshop will consist of a variety of netball skills, fun muscle activation warm ups, speed agility and footwork drills and much more.
The workshop will be held at the School of Sport’s venue:
Cheltenham College, Thirlestaine Rd, Cheltenham GL53 7AB
Further details can be obtained from Sophie Workman: / 01452 616726
NETBALL SCHOOL OF SPORT BOOKING FORM
Location: Cheltenham College, Thirlestaine Rd, Cheltenham GL53 7AB
Dates: Thursday 31st August 2017
Times: 9.00 A.M. – 4.00 P.M.
Cost: £28 per child or (10% sibling discount if more than one child)
Lead Coach: TBC
Please return this booking form ELECTRONICALLY with Parental Consent Form overleaf and full payment by Thursday 24th August 2017 (NB: Full payment is required to secure your place).
Payments can now be made via BACS to
Gilly Salter Sports – (Please put child’s name as Reference & Email Confirmation to )
Account Number: 46410568
Sort Code: 30-98-29
PLEASE NOTE NO FURTHER CORRESPONDENCE WILL BE SENT. YOU WILL ONLY BE CONTACTED IF PLACES ARE FULLY BOOKED. PLEASE REMEMBER YOUR CHILD WILL NEED TO BRING PLENTY TO DRINK AND A PACKED LUNCH.
Cheques should be made payable to ‘Gilly Salter Sports’ and sent to:- Sophie Workman, G S Sports Consultancy, New Chambers, 9E Hucclecote Road, Gloucester, GL3 3TQ
PARENTAL CONSENT FORM – Thursday 31st August 2017
Childs Name…………………………………………………………………………………………………………………………………
School…………………………………………………………… Club name (if applicable)…………………………………….
Age………………………………………… Year Group:
Parents/Carers Name …………………………………………………………………………………………………………………
Home Address ……………………………………………………………………………………………………………………………
……………………………………………………………… Post Code ………………………………………………………………….
Home Telephone Number ……………………………………………………………………………………………………………
Email Address………………………………………………………………………………………………………………………………
Emergency Contact & Tel Number………………………………………………………………………………………………..
Medical information. Please indicate any illness, allergies, recent injuries or medication etc.,
…………………………………………………………………………………………………………………………….………………………..
Date of last tetanus injection (if known) ………………………………………………………………………………………
Name, Address & Telephone Number of Doctor ………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………….
PARENTAL CONSENT
I agree to my child taking part in the above activity. I understand that the adult(s) responsible for the activities will take all-reasonable care of the participants. I consent to any emergency treatment necessary. I therefore, authorise the party leader(s) to sign on my behalf any written form of consent required by the hospital authorities should medical treatment, (a surgical operation or injection) be deemed necessary; provided that the delay required obtaining my signature might be considered in the opinion of the Doctor or Surgeon concerned, likely to endanger my child’s health or safety.
Photographs & Video footage may be taken at this event and during the training session for use by the Hucclecote Netball Club Website, local Media and/or netball in Gloucestershire and the South West Region. Please notify the organisers if you personally have any objections for your child to be used as part of this process. At no stage will names be listed with photographs. This is part of our duty of care policy.
Signature……………………………………………………………Printed Name …………………………………………………………
Date …………………………………………………………………………………
If you are unable to pay online, Cheques can be made payable to ‘Gilly Salter Sports’ and sent to:- Sophie Workman, G S Sports Consultancy, New Chambers, 9E Hucclecote Road, Gloucester, GL3 3TQ