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GYMNASTICS GYMNASTICS Application form for Poppets Nursery School

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GYMNASTICS GYMNASTICS Application form for Poppets Nursery School Powered By Docstoc
					GYMNASTICS
Application form for Poppets Nursery School extra mural activity

Pupil’s details:

Name:                     _________________________

Surname:                  _________________________

Date of Birth:            _________________________

Age:                      _________________________

Address:                  ______________________________________
                          ______________________________________

Class:                    _________________________


Any medical or physical factors you feel I should be aware of:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________


Parents Details:

Name:                     _________________________

Surname:                  _________________________

Telephone (work):         _________________________

Telephone (home):         _________________________

Telephone (cell           _________________________


I undertake to pay the fees for gymnastics as set out in the agreement.




_________________________                  ________________
Signature of parent / guardian              Date

				
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