If you would like to attend the Glyndr University Multi Sports Holiday club
please complete the form below and return to:
Multi Sports Holiday Club, Glyndr University Sport, Mold Road, Wrexham LL11 2AW
Days attending (Please tick box)
Wednesday 6th June
[ ]
Thursday 7th June
[ ]
Friday 8th June
[ ]
Name:________________________________________________________
Address:
Date: 6th, 7th, 8th June 2012
Time: 9.00am - 3.30pm
__________________________________________________________
__________________________________________________________
Postcode: __________________________________________________________
Email:
__________________________________________________________
Venue: Glyndr University Sport Centre
School:
____________________________________
Cost: 12.00 per day or 33.00 for the 3 days
Emergency Contact:
________________________________________________
(25% off for siblings)
Emergency Number:
________________________________________________
8 to 12 years old
Medical History:
________________________________________________
Age:
Book your place now!
Email: sportsbookings@[Link]
Phone: 01978 293275
Age: ____________
________________________________________________
Cheques should be made payable to Glyndwr Innovations Ltd'.
Although no contact sports will be played, there is the possibility of injury. I
therefore consent to first aid being carried out in the event of an injury. I agree
that Glyndr University reserve the right to remove any disruptive children
from the club and that they accept no responsibility for loss or damage to
personal property in connection with this Holiday club.
I also consent to my child being photographed/filmed for future publicity
purposes.
Signed:
________________________________ (Parent/Guardian)
Date:
________________________________