POYNTON WEDNESDAY FOOTBALL SESSION

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Stockport County Youth Engagement session - Barnaby Park Poynton SK12 1LR

Barnaby Park Poynton SK12 1LR

Child's Name

DOB

YYYY

Age

School

Ethnicity

English, Welsh, Scottish, Northern Irish or British

Irish

Gypsy Or Irish Traveller

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian Background

Caribbean

African

Any other Black, Black British or Caribbean Background

White and Black Caribbean

White and Black African

White and Asian

Any Other mixed or multiple ethnic background

Arab

Any Other Ethnic Group

Clear selection

Year Group

Year 6

Year 7

Year 8

Year 9

Year 10

Year 11

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Address

Postcode

Contact Telephone Number

Email Address

Do we need to know of any medical history?

Are you happy for us to take pictures and film sessions, this content may be shared on our website or social platform?

Yes

Other:

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GDPR

We take our responsibilities about handling your personal data seriously, by asking you to provide an email address we will send you a confirmation of your sign-up which will include a copy of our full Privacy Policy.

Alternatively, you can request a copy by contacting us via the details at the bottom of this form.

Safeguarding

If you have any safeguarding concerns please contact DSO Matthew Bailey via m.bailey@stockportcounty.com

Disclaimer: By booking onto this session your information will be shared with our other funding providers.
Please sign below:

Get in Touch:

Email: communitytrust@stockportcounty.com

Telephone: 0161 266 2700

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