1. Childs Name_________________________________________________ Age_______ Contact No_____________________________________________________________ Address______________________________________________________________ ___________________________________________Postcode__________________ E-mail________________________________________________________________ Dates To Attend – please circle below and tick times on right 9-3 10-3 10-12 1-3 Bluecoat Junior School 30 / 31 JUL 1 / 18 / 19 AUG Finchale Primary School 23 / 24 JUL 20 / 21 AUG Framwellgate Moor Comp 28 / 29 JUL 11 / 12 / 27 / 28 / 29 AUG Silvertree Primary School 6 / 13 / 27 AUG Esh Village Hall 24 / 25 JUL 7 / 8 / 18 / 19 AUG Langley Park Cricket Club 11 / 12 / 13 / 14 / 15 AUG Sacriston Infant/Juniors 22 / 23 JUL 4 / 5 / 27 / 28 AUG Lanchester EP Primary 21 / 22 JUL 4 / 5 / 26 AUG Esh Winning Primary 28 / 29 JUL MEDICAL CONSENT FORM Medical conditions ___________________________________________________________ Details of any current medication________________________________________________ We the undersigned, in consideration of our child’s participation in the Craig’s Coaching program and the information supplied on the application form we agree to the following: My child is in good health and I consider them capable of taking part in the multisport /Football programme. I have completed the application form where I have listed any medical conditions and details of any medication taken whilst my child is on the Craig’s Coaching programme. In the event of illness or accident, I consent to any 1 st aid treatment necessary given to my child whilst on the Craig’s Coaching programme. Photographs taken by Craig’s Coaching can be used for publicity purposes. Please note that Craig’s Coaching cannot be liable for any personal loss or injury that any child sustains whilst on the programme and it is parents/guardians responsibility to inform Craig’s Coaching of any medical conditions that could affect their child’s participation. Parent/Guardian’s Name_______________________________________ Signature_______________________________ Date________________ PLEASE NOTE YOU WILL RECEIVE NO CONFIRMATION CRAIG’S COACHING WILL NOTIFY YOU IF COURSE IS NOT TO GO AHEAD. SUMMER HOLIDAY PROGRAMME 2014 1 DAY2 Days3 Days4 Days5 Days or more 9.00AM-3.00PM£13£24£33£40£9 per day 10.00AM-3.00PM£11£20£27£32£7 per day HALF DAYS 10.00-12.00PM OR 1.00-3.00PM = £5 PER HALFDAY SESSION BOOK 5 DAYS OR MORE BEFORE 18 TH JULY AND RECEIVE £5 DEDUCTION FROM FINAL BILL AMOUNT PRICE STRUCTURE AND SPECIAL OFFER APPLIES TO EACH CHILD ATTENDING Courses open to children aged 4-11 years old all children will need is a packed lunch/plenty of drinks and suitable clothing and footwear. Please note that all courses are indoors/outdoors so trainers are needed. To register your child fill in this form and return with payment to- Craig’s Coaching, 84 Rothbury Road, Newton Hall, Durham, DH1 5QB. Payment can be in form of cash/cheque please make cheques payable to CRAIG’S COACHING FURTHER INFO CALL CRAIG ON 07525492385 OR E-MAIL CRAIGSCOACHING@YAHOO.co.uk WWW.CRAIGSCOACHING.COM BLUECOAT JUNIOR SCHOOL (FOOTBALL)30 TH / 31 ST JUL 1 ST / 18 TH / 19 TH AUG FINCHALE PRIMARY SCHOOL (MULTISPORTS)23 RD / 24 TH JUL 20 TH / 21 ST AUG FRAMWELLGATE MOOR COMPREHENSIVE (FOOTBALL / MULTISPORTS) 28 TH / 29 TH JUL 11 TH / 12 TH / 27 TH / 28 TH / 29 TH AUG LANGLEY PARK CRICKET CLUB (FOOTBALL / MULTISPORTS) 11 TH /12 TH /13 TH /14 TH /15 TH AUG ESH VILLAGE HALL (MULTISPORTS)24 TH /25 TH JUL 7 TH /8 TH / 18 TH /19 TH AUG LANCHESTER EP PRIMARY (M’SPORTS)21 ST /22 ND JUL 4 TH /5 TH /26 th AUG ESH WINNING PRIMARY SCHOOL (10AM-3PM)28 TH / 29 TH JULY SACRISTON INFANT/JUNIOR SCHOOLS (FOOTBALL / MULTISPORTS) 22 ND / 23 RD JUL 4 TH / 5 TH / 27 TH / 28 TH AUG SILVERTREE PRIMARY (FOOTBALL) 10AM-3PM6 TH / 13 TH / 27 TH AUG