Eat Active 2020

Which Eat Active camp would you like to attend? (select one) (required)

St Michael’s School, BathCastle Primary School, KeynshamWelton Rovers FC, Midsomer Norton

First name (required)

Last name (required)

Date of birth (required)

Address (required)

Postcode (required)

Parent/guardian’s mobile phone number

Email address (required)

Emergency contact name (required)

Emergency contact mobile number (required)

Child’s school or education setting (required)

Number of people attending (Including the sign up) (required)

Names (and ages) of ALL people attending (required)

Is your family in receipt of Free School Meals? (required)

YesNo

Medical information and access needs

Dietary requirements (including allergies)

Choice of Activity (required)

Physical ActivityPlay

Day(s) which you would like to attend (required)

MondayTuesdayWednesdayThursday

Session time slot (required)

AM (one hour slot will be allocated between 10am and 12pm)PM (one hour slot will be allocated between 12pm and 2pm)

As part of our work in the community, Bath Rugby Foundation will be taking photographs and video at Summer Break Out sessions. Photographs and video images recorded may be used by Bath Rugby Foundation and Summer Break Out partners to promote their work. (required)

I give permission for photographs and / or video of our pupils to be used by Bath Rugby Foundation and Bath Rugby Limited for the purposes of promoting their work in the local community via website, newspapers, social media and radioI do not give permission for photographs or video of our pupils to be used by Bath Rugby Foundation and Bath Rugby Limited.