Fitness session application

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Community and School Sports Department Fitness Session We are pleased to announce details of a NEW after school fitness session to be held at Fort Regent starting Wednesday 12th February. The sessions are FREE to anyone aged 10-14 years old. The sessions which alternate each week between circuit training (on the West Balcony Rampart) and Junior Gym (in the Junior Gym). Each session is from 4.15pm – 5.00pm. Places are limited so please complete this form and return to: Community and School Sports (Fitness), Fort Regent, Mount Bingham, St Helier, JE2 4UX or email to p.brannan@gov.je. For more information call 449790 or email p.brannan@gov.je -------------------------------------------------------------------------------------------------------------------------Fitness Session Application Form

Name

Date of birth

Address

Parents / Guardian name Telephone

Mobile

Email Emergency contact name Emergency contact number Parent / Guardian signature

Data Protection Law (Jersey) 2005. The information provided by you on this form is required by the Sport & Leisure Division for the purpose of course enrolment requirements. Children’s information supplied by you may be disclosed to sports coaches. Financial details provided will be securely disposed of at the end of each course.


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