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8 Sep 10

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Barrow AFC Skill Centre - Booking Form

The Skill Centre includes skill sessions, coaching from Barrow AFC players and lots of fun games to improve skill technique, tactical awareness and build confidence. There will be Barrow AFC merchandise and prizes to be won! - The course is open to 7 - 15 year olds.

All Coaches: • Are FA qualified • Hold a full enhanced CRB check • Hold a full First Aid Certificate
Players will need: • Outdoor clothing • Football boots and Shin guards • A mid Morning snack • A packed lunch • Lots of energy!!!
Cost for the Festival is: • £45 for the week • £10 per full day • £5 per half day

BOOKING
In the table below, please enter the length of time you wish to participate in this event. e.g. The amount of half days or full days or the fulll week, and the cost of your chosen activity. e.g. 2 half days = £10. Cheques can be made payable to Barrow AFC LTD

BARROW AFC SKILL CENTRE
For how long?	Dates	Times	Venue	Cost (£)
	Mon 16th August - Fri 20th August	10am - 3pm	Holker Street

Name	A value is required.
Date of Birth	A value is required.
Age
Address

Full Name of Parent / Carer	A value is required.
Telephone	A value is required.Invalid format.
Email of Parent / Carer
Emergency Contact Name	A value is required.
Emergency Telephone	A value is required.

Medical Information:
Does your child have any condition requiring medical treatment, including medication? If YES, please give details:

Details of any allergies:

Details of any special considerations (culture, diet, religion, fears, etc:

Declaration: I consent to the staff seeking medical treatment for my child in an emergency.
Signed	A value is required.
I consent to photographs being taken of my child to be used in the local papers and other publicity material.
Signed	A value is required.
I understand that in the event of my child putting themselves or other children at risk or preventing other children from benefiting from the activities on offer, the coaches have the right to exclude them from the activities. I agree to my daughter/son attending the Barrow AFC multi-sport programme on the dates specified. I have recived an information leaflet and consent to them participating in activities, am in agreement with the policies and acknowledge the need for them to behave responsibly. I understand that they participate in this programme at their own rick and without recourse to Barrow AFC, its officers, agents or coaches.
Signed	A value is required.
Please inform the coaches of any change in circumstances relating to this registration form. Thank you.