The Jersey Netball Association is sponsored by

In association with

October Half Term Netball Course 2012 Please wear suitable sports clothing and footwear. Please bring plenty to drink and lunch/snacks. For further information please call Chrissy Foster on tel. 449748. School Year Date & Time Fee Venue School Year 2 – 4 Monday 29 & Tuesday 30 October £40 or £25 per day St George’s Prep School Year 5 - 7 Wednesday 31 Oct & Thursday 1 Nov £40 or £25 per day St George’s Prep Staff will be on site from 8.30am – 3.30pm for earlier drop off and later collection time

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October Half Term 2012 Application Form

Child’s Name: School Year:

Home Address:

Post Code:

Tel. Day: Tel. Eve:

Emergency Contact Name & Tel. Number: Please indicate the course/s you would like to attend: Monday 29 October Tuesday 30 October Wednesday 31 October Thursday 1 November I consent to my daughter’s participation. I undertake to see that my daughter is provided with the required clothing and equipment where appropriate. To the best of my knowledge, my daughter is medically fit to participate in the activities involved and I undertake to inform you in advance of any alteration to this position. Please specify if your daughter has any medical condition that coaches should be aware of. Your child’s name and image may be included in publications where this is considered not to be against her interests. Should you require us to seek your individual consent to these disclosures, please advise us in writing. Parent/ Guardian Signature Date Please make cheques payable to “JNA Development Fund” and return with the application form to: Chrissy Foster, Netball Development, Fort Regent Leisure Centre, St. Helier, Jersey, JE2 4UX.