APPLICATION FORM Haringey Sports Development Trust, White Hart Lane Community Sports Centre, London N22 5QW |
PROGRAMME DATES FOR 2014 |
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EASTER | Mon 7th Apr - Fri 11th Apr | [10am-3pm] |
Child's name Date of birth Address School Telephone Emergency Telephone No Understand: It is understood that Haringey Sports Development will not be liable for any loss or injury which the above applicant may sustain whilst attending any athletic development course. Should there be any information concerning your child's medical history which you feel we should know (eg inhalers etc), would you please give brief details below: |
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If you wish for your child
to go home by themselves please tick box to give permission
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If you do not wish your child
to be photographed please tick
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Whizz Kids Cost: £30 per week. Families
with more than one child attending £30 for the first child and £28
per child thereafter. |
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"Fee enclosed | Cheque | Cash |
"Fee enclosed | Cheque | Cash |
"Fee enclosed | Cheque | Cash |
Parent's Signature Parent's Name (Print) AWARDS: All youngsters will receive a special designed Medal; Participation Certificate LATE PICK-UPS: Whizz Kids finished at 3pm. As we have had some late pick ups in the past we are going to start charging anyone who turns up later than 3.30pm. We will charge £5 per half hour. Please could you pick up your child on time. Office use only: |
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Rec. no: | Auth. |