CRAIG’S COACHING APPLICATION FORM Name_________________________________________________ Age____________ Contact Home No__________________________Mobile________________________ Address______________________________________________________________ ___________________________________________Postcode__________________ ________________________________________________________________ Please circle dates to attend below Please tick times to attend on right Framwellgate Moor Comp 11 TH / 12 TH APR Finchale Primary School 3 RD APR Framwellgate Moor Comp 9 TH / 10 TH APR Esh Village Hall 3 RD / 4 TH / 8 TH / 9 TH APR Langley Park Cricket Club 11 TH / 12 TH APR Sacriston Infant / Juniors 2 ND / 10 TH APR Bluecoat Junior School 4 TH / 5 TH APR 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. EASTER HOLIDAY PROGRAMME 2013 COSTS1 DAY2 DAYS3DAYS4 DAYS5 DAYS OR MORE PM£12£22£30£36£8 PER DAY PM£10£18£24£28£6 PER DAY OR PM £7£12£15£16£3 PER HALF DAY PLEASE NOTE THAT PRICE STRUCTURE IS FOR EACH CHILD ATTENDING Courses open to children aged 4-11 years old, children will need a packed lunch/plenty of drinks and suitable clothing and footwear. Most courses have indoors/outdoor facility so trainers are needed in case children are indoors. Langley Park Sport and Social Club course is outdoors only AM involves play equipment such as giant board games, computer shoot out, soft play and the new inflatable penalty shootout. To register your child fill in this form and return with payment to your child’s school reception or alternatively send to- Craig’s Coaching, 7 Beech Close, Brasside, Durham, DH1 5YB. Payment can be in form of cash/cheque please make cheques payable to CRAIG’S COACHING FURTHER INFO CALL CRAIG ON FRAMWELLGATE MOOR COMP, DURHAM9 TH / 10 TH APRILFOOTBALL COURSE FINCHALE PRIMARY SCHOOL3 RD APRILMULTISPORT COURSE FRAMWELLGATE MOOR COMP, DURHAM11 TH / 12 TH APRMULTISPORT COURSE ESH VILLAGE SPORTS HALL3 RD / 4 TH / 8 TH / 9 TH APRMULTISPORT COURSE BLUECOAT JUNIOR SCHOOL4 TH / 5 TH APRILFOOTBALL COURSE SACRISTON INFANT / JUNIOR SCHOOLS2 ND / 10 TH APRILMULTISPORT COURSE LANGLEY PARK SPORTS AND SOCIAL CLUB11 TH / 12 TH APRILFOOTBALL COURSE