Galashiels Active Schools: Cluster club sign up form

Galashiels Active Schools: Cluster Clubs

Sign up form for cluster clubs being delivered by Galshiels Active Schools
Club Sign Up (Select all options that apply for your child)
Child's Name

First NameLast Name
Child's date of birth
Enter child's DOB - DD/MM/YY
Child's Home Address
Please provide details for the home address of the named child
School
State school your child attends
Year
Enter year the named child is in (e.g. P7)
Medical Conditions / Behavioural Concerns
State if your child has any medical conditions and / or behavioural concerns you feel the coach should be aware of
Additional Support Needs
Please detail any additional support needs your child may have
Parent / Guardian Mobile Number
Enter the number Active Schools should contact you on for all issues relating to the signed up club
Parent / Guardian Email
Enter email address you would like all correspondence for the signed up club sent to
Emergency Contact Name and Relationship to Child
Please provide name and relationship to child for at least one emergency contact who is different to the parent/guardian details provided above
Emergency Contact Number
Enter number for above named emergency contact(s) (Active Schools will try provided parent/guardian mobile number 1st)
Picture / Video Permission
Please confirm if you permit Active Schools to include your child in pictures / videos taken during the sessions being signed up for. Pictures / videos taken may be published online via the Galashiels Active Schools Facebook page for promotional purposes but no names will ever be used.
P4 and older pupils only - After each class my child will:
Lending a hand at the opportunity:
If you or a member of your family would be available and willing to lend a hand at the opportunity you are signing your child up for then we would love to have them involved! Please provide your / their name and contact details above and I will get in touch with them to discuss the role.
Scottish Borders Council Privacy Notice

Scottish Borders Council is required to inform you about the collection and use of your personal information. Should you wish to understand more about how we handle yours/your child’s information please click on this link: http://www.scotborders.gov.uk/schools-learning/active-schools/4
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Galashiels Active Schools: Cluster Clubs