JJ Sports Coaching
Fellgate Easter Camp Mon 14th to Thur 17th April 10-2pm
Full Name of Child
*
First Name
Last Name
Birth Date
*
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Year
What school does your child attend?
*
Which school year are they in?
*
Please Select
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Only open to years 2-7
Home Postcode
*
Postcode
Does your child receive free school meals? Not just being in year 1 or 2. This is currently only open to FSM children
*
Yes
No
Please tick which day(s) your child will be attending.
*
Mon 14th April
Tue 15th April
Wed 16th April
Thur 17th April
Does your child take any medication we should be aware of?
*
Yes
No
Please detail any Medication below:
Does your child have any allergies we should be aware of?
Yes
No
Please detail any allergies below:
Any other medical information we should know? (Learning difficulties / Disabilities)
*
Yes
No
Details of learning difficulties/disabilities
Emergency Contact Information that is connectable between 10-2pm
*
Name/Relationship
Contact Number
Guardian Email
*
example@example.com
I give permission for JJ Sports Coaching to take photos of my child(ren) and use on their social media sites.
Yes
No
I give permission for JJ Sports Coaching to share my data with Newcastle City Council, StreetGames and sportfin for registration purposes. All data is kept in accordance with GDPR regulations.
*
Yes
Ethnicity
*
Please Select
White British
Asian or asian British
Indian
Bangladeshi
Pakistani
Black, black British, Caribbean
Chinese
African
Caribbean
Irish
Roma
Gypsy or Irish traveller
Any other mixed or multiple ethnicity
White or black African
Mixed or multiple ethnic groups
Any other Asian backgrounds
Prefer not to say
Gender
Please Select
Male
Female
Non binary
Prefer not to say
My Products
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Sports camp
£7.50 per day 10-2pm. Packed lunch included in price.
£
7.50
£7.50 per day
Quantity
Price
Days
1
2
3
4
£
7.50
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
I agree to allow my child to take part in all activities and understand that JJ sports coaching a trading name for wd sports coaching ltd hereby waives any responsibility and liability to any damages and injuries resulting from taking part in any sporting activity
*
I agree
I confirm that all the information I have gave is true. Signature
*
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