Name of Pupil……………………………………………………………………………… Class………………… As Blackpool has now become a part of the National Children’s University programme, the way that we collect the activity hours for the children at Devonshire Primary Academy has changed slightly. We are now required to collect signatures from the tutors, coaches and organisers who lead these activities out of school. If you do activities in the evening, at the weekends or even in the holidays, please ask an adult at the organisation/s to give details of your activity in the table below. Please return this sheet to school once you have recorded all your activities (not including school-led clubs), where these hours will be added to your passport. Learning Activity
Organisation/Club
Date From-to
Football
Layton Juniors
12/9/134/5/14
Total Hours of learning
30
Signed and contact number in case we need to validate
A. Brannigan 01253 478271
If you require a new form at any time, please request one from Mr Brannigan.