Going Out Club

Going Out Club Works Out

Pinnacle Fitness, Bradford
GOING OUT CLUB GOES to the GYM

Wednesday 18th February,

2pm - 3.30pm, at Pinnacle Performance Fitness Gym,

First Floor, City Exchange, 1 Nelson St, Bradford BD1 5AX

For young people aged 11+

UNDER 14's MUST BE ACCOMPANIED BY A PARENT/CARER

COST: £5.00 per young person
Name of young person/adult with Down syndrome

First NameLast Name
Age
UNDER 14's MUST BE ACCOMPANIED BY A PARENT/CARER. If the young person/adult needs full supervision please tell us about it here and say who will be attending to support them
Please give contact details below so that we know who to contact to discuss this booking and also another contact if we are unable to contact you on the evening.
Name of parent/carer making the booking

First NameLast Name
parent/carer contact number
EMERGENCYCONTACT NAME (other than name above)

First NameLast Name
Second contact phone number
Any medical issues, dietary requirements or comments on supervision that we need to be aware of please give details below.
Signature

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Date

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TICKETPlease check the box at the left and then select quantity of tickets
£5.00 Quantity

Total

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Payment Methods

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Choose from one of the PayPal options to make your payment.

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Going Out Club Works Out