Birtley community Summer Camp

JJ Sports Coaching

Birtley Summer Camp Mon and Tue Weeks 2-5 of the summer holidays. 10-2pm
If your child is entitled to free school meals please click the link below👇🏾. If not continue to fill in the form.

https://app.holidayactivities.com/login?email=&signup=false
Full Name of Child*

First NameLast Name
Birth Date*

DayMonthYear
Which school year are they in?*
Only open to years 2-7
Please tick which day(s) your child will be attending.*

Mon 28th JulyTue 29th JulyMon 4th AugTue 5thaugMon 11th AugTue 12th AugMon 18th AugTue 19th Aug
Does your child take any medication we should be aware of?*

YesNo
Please detail any Medication below:
Does your child have any allergies we should be aware of?

YesNo
Please detail any allergies below:
Any other medical information we should know? (Learning difficulties / Disabilities)*

YesNo
Details of learning difficulties/disabilities
Emergency Contact Information that is connectable between 10-2pm*

Name/RelationshipContact 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.

YesNo
I give permission for JJ Sports Coaching to share my data with Gateshead council for registration purposes. All data is kept in accordance with GDPR regulations.*

Yes
Ethnicity*
Gender
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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JJ Sports Coaching

If your child is entitled to free school meals please click the link below👇🏾. If not continue to fill in the form.