Couch to 5k Booking Form
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Email *
Your Name:
Telephone Number
Child 1 : Name, Date of Birth & Class
Child 2: Name, Date of Birth & Class
Child 3: Name, Date of Birth & Class
Child 4: Name, Date of Birth & Class Name
Child 5: Name, Date of Birth & Class Name
Booking options
Symptoms of COVID-19 - If any participant is showing any symptoms relating to COVID-19, they will be asked to leave the session and advised to follow the government guidance and self-Isolate and order a test. If a participant records a positive test, all other participants that have come into contact with them will be contacted by Track and Trace and advised to self-isolate as well.  If a participant develops symptoms within 7 days of the activity undertaken with the school, they will need to let the school know to enable them to advise the rest of the group. Please visit https://www.gov.uk/coronavirus for further information or call 119  
GDPR - The information collected on this form will be used in compliance with General Data Protection Regulations. By supplying information, you are giving your consent to the information being used for the schools monitoring and funding purposes for activities that are provided within the Community House. This information will be kept strictly confidential and will be deleted in accordance with the Retention Guidelines for schools.
September 2020
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