P1-P3 Multi-Activity Club (Kirkcaldy)
Friday's 16.30-17.30 @ Windmill Community Campus, 22nd February-29th March (6 Sessions), £6.00 per block
Pupil Name
First Name
Last Name
Primary School
Which class is your child in?
P1
P2
P3
Does your child currently attend any sports Clubs/Activity
Yes
No
If yes, please give us with some details of the activity and club/provider
Address
Street Address
Street Address Line 2
Town/City
County
Postal
Emergency Contact
First Name
Last Name
Emergency Contact Number
Emergency Contact Email Address
How will your child get home at the end of the session?
Collected by parent/guardian
Walk home
Does your son/daughter suffer from any conditions requiring medical treatment/medication?
Yes
No
If yes, please specify.
I agree to my son/daughter taking part in the above mentioned activity. I give permission for my child to be photographed for promotional materials, including social media and future publications. I agree to my son/daughter receiving medical treatment , including anaesthetic, as considered necessary by the medical authorities present.
I agree
I do not agree
Submit
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