Activities @ Broomlands PS

Active Schools Clubs @ Broomlands PS

Sign up form for Active Schools clubs running at Broomlands Primary School
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'Active Schools Kelso - New'
Club Sign Up

P6/7 Basketball - Mondays 3.30-4.30pm - 19th Jan to 16th MarP6/7 Rugby – Wednesdays 3.30-4.30pm – 11th to 25th March
Child's Full Name*

First NameLast Name
School Year*
Enter school year (e.g. P2)
Date of Birth

DayMonthYear
Home Address
Medical / Behavioural Conditions
State if your child has any medical and / or behavioural conditions 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 number Active Schools should contact you on for all issues relating to the club
Parent / Guardian Email Address*
Enter email address you would like all correspondence for the club sent
Emergency Contact Number
Enter emergency contact number (Active Schools will try provided parent/guardian mobile number first)
Picture / Video Permission*
Please confirm if you permit Active Schools to include your child in pictures taken during the sessions. Pictures taken may be published online via the Kelso Active Schools Facebook page for promotional purposes.
P4 - 7 pupils only - After each class my child will:*

Walk HomeBe collectedQuestion not applicable to my child
Volunteering at club
Please state if you or someone you know would be keen to lend a hand at this club. If yes please state their name and the best number to contact them on.
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 follow this link:

www.scotborders.gov.uk/schools-learning/active-schools/4
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Active Schools Clubs @ Broomlands PS