Please keep the top form for your reference

Transcription

Please keep the top form for your reference
PHOENIX GROUP FOR DEAF CHILDREN
PARENTAL/GUARDIAN CONSENT FOR ACTIVITY PARTICIPATION
Please complete the details below if you would like your child to participate in the
following activity. This form must be returned to Julie Bayford at Phoenix Group for
Deaf Children prior to the activity. Our new address is the Hyde Out Centre, 2-6 the
Hyde, Stevenage Herts SG2 9SE
Julie’s mobile number is 07519 175575
Please keep the activity information for your reference
Places are on a first come first served basis and cannot be secured without
payment (if applicable) and consent prior to the event.
ACTIVITY & VENUE ADDRESS
DATE/TIME
Travel planning and lunch (provided) at the
Phoenix base
The Hyde Out Centre
2-6 the Hyde
Stevenage, SG2 9SE
Deaf Awareness teaching at Oaks Cross farm
(practice at Phoenix base first). Transport can
be provided (if available) free of charge to and
from this activity (or if joining us for the above
activity too).
Travel training to Watford, meeting point to be
confirmed
Monday 27th July, 11am -2pm
Travel training to lee Valley park
Walk the O2 bridge and world buffet lunch
Trampolining at Bounce
Lunch provided
Monday 27th July, 2pm – 5.30pm
Tuesday 28th July, this activity will take place
from approximately 10am- 5pm, however this
will be confirmed once we know where the
young people taking part live.
Please bring a packed lunch
Wednesday 29th July, this activity will take
place from approximately 10am – 5pm,
however this will be confirmed once we know
where the young people taking part live.
Please bring a packed lunch
Monday 3rd August, 10am – 6pm
Please bring money for lunch
Tuesday 4th August, 9.45am meet at Phoenix
base or 10.45am meet at Bounce. Return to
base at 2pm
Please bring money for lunch
Phoenix holiday book at Phoenix base
Tuesday 4th August, 2pm- 4.30pm
Swimming at Olympic Aquatic centre, London
and lunch in the park
Wednesday 5th August, 10am- 5pm
Meet 10am at Stevenage station unless
alternative meeting arrangements are made
with Julie
Teach BSL to families
Please bring a packed lunch
Thursday 6th and Friday 7th August, 1pm -4pm
Teach or learn BSL at the Phoenix base
Monday 10th August, 10am – 3pm
Sign Singing at the Phoenix base
Please bring a packed lunch
Tuesday 11th August, 2pm -4pm
Dinner and youth Committee meeting at the
Phoenix base
Royal Gunpowder Mills
Beaulieu Drive, Waltham Abbey, Essex
EN9 1JY
Football training with Watford football club at
Cassiobury park, Park Avenue
Watford, WD18 7LB
Cycling safety training from the Phoenix base
Tuesday 11th August, 4pm – 7pm
Takeaway dinner provided
Wednesday 12th August, 10am – 5pm
Please bring a packed lunch
Thursday 13th August, 11am-2pm
Please bring a packed lunch
Saturday 15th August, 10.30 -1.30 (includes
lunch in the park with us) or 12.30- 3.30pm
(includes lunch too). If you don’t want to join us
for lunch, the session times are 10.30am 12.30pm or 1.30pm-3.30pm.
Meeting place depend on time of session
attending.
Please bring a packed lunch
Pony care and riding project
Oaks Cross Farm, Hooks Cross nr Stevenage
Circus skills at Chells park pavilion
Gresley Way
Stevenage
SG1 5QU
Monday 17th August – Wednesday 19th August.
9.30am -3.30pm (please note the different time
from the programme). Free transport (where
available) can be arranged for this project if
given plenty of notice. Please ask Julie for
details
Please do not book a place unless you can
attend all three sessions
Thursday 20th August, 11am – 2pm
Bring a packed lunch
Child’s name ____________________________________ would like
to join Phoenix for the following activities.
ACTIVITY
COST
TICK
FREE
Travel planning and lunch (provided) at the
Phoenix base
Deaf Awareness teaching at Oaks Cross farm
FREE
Travel training to Watford, meeting point to be
confirmed
Travel training to lee Valley park
£5
Walk the O2 bridge and world buffet lunch
£30
Trampolining at Bounce
£8
Phoenix holiday book at Phoenix base
FREE
Swimming at Olympic Aquatic centre, London
and lunch in the park
Teach BSL to families
£15
Teach or learn BSL at the Phoenix base
FREE
Sign Singing at the Phoenix base
FREE
Dinner and youth Committee meeting at the
Phoenix base
Royal Gunpowder Mills
Beaulieu Drive, Waltham Abbey, Essex
EN9 1JY
Football training with Watford football club at
Cassiobury park, Park Avenue
Watford, WD18 7LB
Cycling safety training from the Phoenix base
FREE
Pony care and riding project
Oaks Cross Farm, Hooks Cross nr Stevenage
Circus skills at Chells park pavilion
Gresley Way
Stevenage
SG1 5QU
£25 for three days
£5
FREE
£10
£5
FREE
£5
TOTAL
CASH/CHEQUE/PAYPAL(Pay pal
details on our website)
£
 My child can be transported in staff cars between activities if
agreed prior to event? YES/NO
 I agree for my child to have photo/films taken that may be used
for publicity and activity evidence for funders? YES/NO
 Phoenix has my child’s emergency contact and medical details
and I inform you below of any recent changes to these. YES/NO
 If my child demonstrates behaviour that is deemed
unacceptable, I will collect them as requested and a refund for
the activity will not be refunded.
 New members, please provide all relevant information
concerning your child on the ‘New Youth Group Members
Important Information’ Form. (Please request this form if not
sent to you.)
 I accept that some activity times may change due to weather
conditions or other unforeseen circumstances.
Updated information for current members (medical, phone numbers
etc)
Signed_____________________________Date__________________

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