10am—3pm each day Bedfordshire FA Astro

Bedfordshire FA Astro-Grass Pitch
Holiday Courses
Courses available:
Wed—thur
20th—21st February
HC19
£20
Full days of football coaching for children ages 5-10
FA qualified coaches to lead the fun and games!
Sessions based around all aspects of the game
Certificates for all!!
10am—3pm each day
Please return the booking form overleaf to the
Bedfordshire FA with full payment to secure your
place. A confirmation/receipt will follow by post.
Alternatively call 01582 565111 for enquiries.
Booking Form
Course Number:
HC
Child Name(s)
Age
Address
Postcode
Parent/carer name
Home Telephone
Emergency Telephone
Email (for future course Information)
Illness/allergies/medical conditions:
I consent to my child(ren) taking part in a Beds FA holiday course. I acknowledge that the Bedfordshire FA will take all reasonable steps in the exercise of its duty to keep him/her from accident or other harm. I understand that in the event of an accident or other emergency every
effort will be made to contact me. If I am unable to be contacted, I consent to my child
receiving urgent medical treatment, which in the opinion of a qualified medical practitioner may
be necessary, and accept that such practitioner will need to be informed of any medical
condition disclosed above.
I do/ do not give (please delete) permission for photographs to be taken by a fully authorised
photographer(s) nominated by The FA and understand they may be used for publicity
purposes concerning the Bedfordshire FA projects.
I am the parent/legal guardian of the child.
Signed: __________________________________________
Name (please print) _________________________________
Date signed: _______________________________________
Please return to AGP Kids Courses at the Bedfordshire FA with full payment, cheques made
payable to ‘Bedfordshire FA’. No refunds will be provided for cancellations.
Children will need appropriate sports kit with shin pads and trainers (no football boots) along
with a packed lunch and plenty to drink.
‘Century House’ Skimpot Road, Dunstable, LU5 4JU. 01582 565111.