12th December 2015

I give permission for to come to the

Roller Disco on 12th December 2015. I will collect my son/daughter at
7.30pm
(please tick) from Westcroft Leisure Centre OR
I have arranged for my son/daughter to be collected by
.

For all Yr7s and above.

Westcroft Leisure Centre
6-7.30pm (please arrive by 5.30pm)
9. Includes hire of roller skates and safety gear.
Places are limited, so please contact Becca to reserve your place.
Please also state shoe size.
Becca@springfieldchurch.org.uk
Bring your friends, consent forms (PTO),
Christmas jumpers and silly hats

SignedParent/Guardian
In case of emergency, my contact details are:
..
Please give details of any medical/dietary conditions that we may need
to be aware of
....