Page 4 - Feb half term booklet 2012

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February Half Term 2012 Booking Form
(Please return this form in the post, or drop into reception with payment as soon as
possible to avoid disappointment!
Places are limited.)
Name of Child..................................................... Age.....................D.O.B. ...........................
Parent/Guardian.........................................................................................................................
Address........................................................................................................................................
......................................................................................................................................................
Postcode.....................................
Telephone (home).................................................. In an Emergency .......................................
Medical Condition (if any).........................................................................................................
Doctor..........................................................................................................................................
Parent/Guardian Signature........................................................................................................
Date.............................
a) I have read the information about the proposed activity
b) I authorise the organiser to act on my behalf
c) I understand that GTS will not be liable to him for any loss, injury or
damage suffered, other than such as may be caused by negligence of GTS or their employees.
I give permission for my child to take part in the February programme being held
at Torrington School between the 13th and 17
th
February 2012.
Signature ...................................................................................................................................
Relationship to pupil .................................................... Date: ...................................................
Please return booking form to:
Adrian Avery, Great Torrington School,
Calvesford Road, Torrington, Devon EX38 7DJ.
For more information contact: Adrian Avery on 01805 623531 ext 240.
Course Code/s
Payment cannot be taken over the phone!
Please make cheques payable to ‘Great Torrington School’.
Please enter here which activities you would like to select.
Course code
Date of activity
Cost
Total:
If you require more room to enter courses, or would like to make any additional comments, please write
them below.
GTS Academy Trust, known as Great Torrington School. A company limited by guarantee, registered in England and Wales, number 7698197. An exempt charity. Registered Office:
Great Torrington School, Calvesford Road, Great Torrington, Devon, EX38 7DJ
Calvesford Road, Great Torrington, Devon, EX38 7DJ
Tel: 01805 623531 Fax: 01805 624332
Website:
www.gts.devon.sch.uk