SURVIVORS JUNIOR NETBALL

EASTER WORKSHOP

Year 5 upwards

1 day workshop includes a variety of netball skills, drills, fun games and mini tournaments.

Venue: All Saints Academy, Blaisdon Way, Cheltenham, Glos.

GL51 0WH

Date: Tuesday 10th April

Time: 9:30-4:00pm

Cost: £15.00 per child

England Netball Level 2 lead coach,CRB checked and qualified first aider, supported by Survivors Netball Club players.

On arrival, please report to school reception.

Please bring packed lunch, snacks and all drinks with you as there are none available on site (water fountain only). The workshop is outdoors, so waterproof clothing might be advisable. We have got access to indoor changing facilities and a room for any bags that need to be left indoors. Please do not bring any valuables with you as we cannot be held responsible for any damage or losses to them.

Please print off and complete the booking and Parental Consent form below and return with full payment by Monday 26th March.(NB: Full payment is required to secure your place).

Cheques should be made payable to: ‘Survivors Netball Club’ and sent to:

Sharon Marland

98 Meadowleaze

Longlevens

Gloucester

GL2 0PS

Any queries please contact: Sharon Marland on 01452 313013

Please note, no further correspondence will be sent. You will only be contacted if places are fully booked.

PARENTAL CONSENT FORM

Child's Name......

School...... Club Name(if applicable)......

Age...... Year Group......

Home Address......

...... Post code......

Home Telephone Number......

Parents/Carers Name......

Email Address......

Emergency Contact Name & Telephone Number......

…......

MEDICAL INFORMATION

Please include any allergies, medication taken, use of inhalers or any other relevant medical history......

…......

…......

…......

Date of last tetanus injection(if known)......

Name, Address & Telephone Number of Doctor......

…......

…......

PARENTAL CONSENT

I agree to my child taking part in the Netball 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 for 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 and safety.

Signature of Parent/Carer......

Printed......

Permission: Photographs and Video footage may be taken at this event or throughout the season for the use by Survivors Netball Club, local media and other netball hosting organisations. Please notify the organisers if you personally have any objections for your child to be used as part of this process.

Signed by Parent: ...... Date:......

Signed by Athlete: …...... Date: …......