CRAIG’S COACHING APPLICATION FORM Name_________________________________________________ Age____________ Contact Home No_______________________________________________________ Mobile No_____________________________________________________________ Address______________________________________________________________ ___________________________________________Postcode__________________ ________________________________________________________________ Please circle dates to attend below Please tick times to attend on right Framwellgate Moor Comp 18 th / 20 th / 22 nd FEB Finchale Primary School 21 ST FEB Framwellgate Moor Comp 19 TH FEB Esh Village Hall 18 TH / 19 TH FEB Silvertree Primary School 21 st FEB Sacriston Infant / Juniors 20 th FEB 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 1 st 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. 1/2 TERM HOLIDAY PROGRAMME 2013 COSTSATTEND 5 DAYS 9.00AM-3.00PM£10 PER DAY£40 FULL WEEK 10.00AM-3.00PM£8 PER DAY£30 FULL WEEK / PM£6 PER HALF DAY£20 FULL WEEK PLEASE NOTE THAT PRICE STRUCTURE IS FOR EACH CHILD ATTENDING Courses open to children aged 4-11 years old, children will need a packed lunch/plenty of drinks and suitable clothing and footwear. Most courses have indoors/outdoor facility so trainers are needed in case children are indoors. Registration for Sacriston course will be held in infants sports hall AM 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 your child’s school reception or alternatively send 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 OR FRAMWELLGATE MOOR COMP, DURHAM FINCHALE PRIMARY SCHOOL FRAMWELLGATE MOOR COMP, DURHAM TUE 19TH FEB THUR 21ST FEB 18TH / 20TH / 22ND FEB FOOTBALL COURSE MULTISPORTS COURSE ESH VILLAGE SPORTS HALL SILVERTREE PRIMARY SCHOOL,USHAW MOOR THUR 21ST FEB 18TH / 19TH FEB FOOTBALL COURSEMULTISPORTS COURSE Craig’s Coaching are running holiday activities during the half term break to keep children fit and active. Multisport courses include a variety of sports including football, dodgeball, cricket and many more SACRISTON INFANTS/JUNIORS WED 20TH FEB MULTISPORTS COURSE