Pre school gymnastics sessions

Tuesday 10th April
915am-10am
And
Thursday 12th April
915am-10am
£3.00 per session
Carisbrooke Central Cluster Extended
Service
Gymnastic Easter Sessions
at Carisbrooke College
Easter Holidays

Gymnastic Sessions
Tuesday 10th April 1pm-2.30pm
Thursday 12th April 10.30-12pm & 1-2.30pm
£5 per session
All abilities welcome

Activity Booking Form
Return Forms
Numbers are limited so early booking is essential. Please fill in this form and return C/o
Carol Ward-Reynolds - Carisbrooke Central Cluster Extended Services Manager at address/e-mail below
Adult/Parent Name_______________________________________________
Activity you’re booking for_________________________________________
(Please circle)

Term Time / Holiday

Dates__________________________________________________________
_______________________________________________________________
Times__________________________________________________________
Any other information_____________________________________________
Child’s Name (if applicable)________________________________________
Age & DOB_____________________________________________________
School________________________________________________________
Address________________________________________________________
E-Mail ________________________________________________________
Phone Number__________________________________________________
Medical conditions_______________________________________________
Emergency Name and Phone Number_________________________________
Do you or any of your family attending activity consider yourselves to have a disability
Y/N
If yes please explain
If you do not wish your child’s photography to be taken and used for publicity purposes, please tick
If you do not give permission for the above information to be entered onto a database to inform of activities and monitor participation please tick

I have paid £_______ by cash/cheque for this activity for the term/ holiday activity
Signed___________________
Please return to Carol Ward-Reynolds CCC Extended Service Officer at
carol.ward-reynolds@carisbrooke.iow.sch.uk or
Carisbrooke college, Mountbatten Drive, Newport, Po30 5QU
01983 550025/07928591629

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