South Gloucestershire Soccer Schools Application Form 2009

Complete and return to:
Please complete the application below and enclose your payment (cheques should be made payable to 'S. G. S. S'),
then send both to:-

South Gloucestershire Soccer Schools, 19 Firgrove Crescent, The Ridge, Yate, Bristol, BS37 7AH.

We will then send you a confirmation letter with all the additional information to help make your week as much fun as possible.*

Name: .............................................................................................................................................................................
Date of Birth: ........................................................... Age: ........................... School Year: ..............................................
Address:...........................................................................................................................................................................
........................................................................................................................................................................................
.............................................................................................................................. Postcode:..........................................
Contact Telephone No: ................................................................... (Mobile) .....................................................................
School: ............................................................................................................................................................................
Football Team: (if any): ....................................................................................................................................................
Friends Attending: ............................................................................................................................................................
Medical Information:..........................................................................................................................................................
Email (if known): ..............................................................................................................................................................
Booking(s) Required (please tick)
Easter - Gillingstool Primary School, Thornbury. 6 - 10 April 2009
Easter - Abbotswood Primary School, Yate. 13 - 17 April 2009
Summer - Raysfield Junior School, Finch Road, Chipping Sodbury. 27 - 31 July 2009
Summer - St. Michael's CEVC School, Ratcliffe Drive, Stoke Gifford, Bristol. 3 - 7 August 2009 -
Summer - Gillingstool Primary School, Thornbury. 17 - 21 August 2009
Summer - Abbotswood Primary School, Yate. 24 - 28 August 2009
Autumn - Raysfield Junior School, Finch Road, Chipping Sodbury. Mon. 26 & Tues. 27 October 2009 (Autumn Half Term Soccer Special £32)
Cost - £60 per full week. Note: Autumn Soccer special - Monday & Tuesday only @ £32 for the two days
Deposit £30 per place, balance payable four weeks prior to starting date other wise your place will be cancelled - Deposits are not refundable.
Football top Size (please tick)
26'' Youths (5-6yrs) 28'' Youths (7-8yrs) 30'' Youths (9-11yrs) 32'' Youths (12-13yrs)
36'' Adults (S) 38'' Adults (M) 40''' Adults (L)

I agree that South Gloucestershire Soccer Schools reserves the right to remove any disruptive children from the course
and neither South Gloucestershire Soccer Schools nor the host venue accept responsibility for the loss or damage
whether to person or property in connection with these courses.

Signed ___________________________Parent / Carer