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REGISTRATION FORM CROSBY LAKESIDE ADVENTURE DAY WORKFORCE

VENUE:

CROSBY LAKESIDE ADVENTURE CENTRE Changing rooms, showers and lockers are available. Car parking is available at the facility and refreshments will be available following the event.

CAPTAIN’S DETAILS

DATE:

SATURDAY 8TH SEPTEMBER 2012

Designate a team captain who will act as a point of contact.

TIME:

NAME:

10AM - 3PM

PRIZ FOR W ES INNIN TEAMS G

E-MAIL:

COST:

TELEPHONE:

£50 ENTRY PER TEAM OF 10 PEOPLE HOW TO REGISTER

Disclaimer

To register your team (all male, all female or mixed) simply complete the entry form below and return with a cheque for £50 to the address below (cheques payable to Sefton MBC).

I acknowledge that I’m 16 years of age or over.

Active Workforce 2nd Floor Merton House Stanley Road Bootle L20 3JA

I accept that I participate in this event at my own risk and that Sefton Council accepts no responsibility for injury, illness, loss or damage to any personal belongings during the event. I will abide by all rules stated in the entry requirements. Participant must sign in the above table before taking part in the event.

CLOSING DATE: All entries including payment must be received by the closing date of Friday 31st August 2012

PLEASE TICK THE BOX BELOW TO SHOW THAT YOU HAVE READ AND ACCEPTED THE TERMS OF THIS DISCLAIMER.

Team Members Full Name

E-mail Address

Organisation

PAUL SAMPLE

PAUL@HOTMAIL.COM

BOOTS

DISCLAIMER SIGNATURE

Contact the Active Workforce Team on 0151 934 2079 or active.workforce@sefton.gov.uk

www.active-sefton.co.uk Active Sefton is a partnership between Sefton Council, NHS Sefton and the local voluntary and community sectors

Adventure day entry form  

advnture, active workforce

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