JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
October Half Term SEND Fitness Club
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent Name
*
Your answer
Parent Contact Number
*
Your answer
Parent Email
*
Your answer
Please tell us about your family including as much information about additional health or care needs as possible.
*
Your answer
Is your child eligible for free school meals?
*
Yes
No
Other:
Do you agree to us contacting you about this and future events that may be of interest to you?
*
Yes
No
Do you give permission for your children to be included in any photographs/videos we take for promotional purposes that may be shared on social media, website and with our funders?
*
Yes
No
Please select all sessions you are interested in attending. Please note we may not be able to accommodate all of your choices.
*
Tuesday 27th 10.30-11.15am
Tuesday 27th 11.15-12pm
Wednesday 28th October 1pm
Friday 30th October 1pm
Required
Child 1 Name
*
Your answer
Child 1 DOB
MM
/
DD
/
YYYY
Child 2 Name
Your answer
Child 2 DOB
MM
/
DD
/
YYYY
Child 3 Name
Your answer
Child DOB
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Positivitree.
Report Abuse
Forms
