Online Booking Form
Page 1
Date
Activity
Time
Age
Group
Venue
Cost
Tues
7th
April
Trampolining T
10-2.30
5-12yrs
Boston Spa School
£10
Learn Squash
9.30-12.30
6-12yrs
Collingham Squash Club
£5
Learn Squash
1-4.00
6-12yrs
Collingham Squash Club
£5
Gaelic Football T
10-3.00
7-12yrs
Boston Spa School
Bring Astro Boots and
Indoor Trainers
£10
Trampolining T
10-2.30
5-12yrs
Boston Spa School
£10
Gaelic Football T
10-3.00
7-12yrs
Boston Spa School
Bring Astro Boots and
Indoor Trainers
£10
Learn Squash
9.30-12.30
6-12yrs
Collingham Squash Club
£5
Learn Squash
1-4.00
6-12yrs
Collingham Squash Club
£5
Learn to Ride a Bike
9.30-10.45
4-7yrs
Boston Spa School
£5
Learn to Ride a Bike
11.00-12.15
8-11yrs
Boston Spa School
£5
Trampolining T
10-2.30
5-11yrs
Boston Spa School
£10
Learn Squash
9.30-12.30
6-12yrs
Collingham Squash Club
£5
Learn Squash
1-4.00
6-12yrs
Collingham Squash Club
£5
Synchronized Swim
11-12.00
8-12yrs
Wetherby Pool
Must Swim 50 Metres
£5
Water Polo
11-12.00
8-12yrs
Wetherby Pool
Must Swim 50 Metres
£5
Trampolining T
10-2.30
5-12yrs
Boston Spa School
£10
Wed
8th
April
Thurs
9th
April
Fri
10th
April
Tick
Choice
Transport is available for activities marked with a T for children who are eligible
Online Booking Form
Page 2
Date
Activity
Time
Age
Group
Venue
Cost
Mon
13th
April
Athletics
10-3.00
7-12yrs
Wetherby High School
£10
Trampolining
10-2.30
5-11yrs
Boston Spa School
£10
Trampolining
10-2.30
5-12yrs
Boston Spa School
£10
Learn Squash
9.30-12.30
6-12yrs
Collingham Squash Club
£5
Learn Squash
1-4.00
6-12yrs
Collingham Squash Club
£5
Street Dance
10-11.30
5-11yrs
Boston Spa School
£5
Trampolining
10-2.30
5-11yrs
Boston Spa School
£10
Learn Squash
9.30-12.30
6-12yrs
Collingham Squash Club
£5
Learn Squash
1-4.00
6-12yrs
Collingham Squash Club
£5
Basketball
10-3.00
7-12yrs
Wetherby High School
£10
Trampolining
10-2.30
5-12yrs
Boston Spa School
£10
Basketball
10-3.00
7-12yrs
Wetherby High School
£10
Synchronized Swim
11-12.00
8-12yrs
Wetherby Pool
Must Swim 50 Metres
£5
Water Polo
10 –11.00
8-12yrs
Wetherby Pool
Must Swim 50 Metres
£5
Athletics
10-3.00
7-12yrs
Wetherby High School
£10
Trampolining
10-2.30
5-11yrs
Boston Spa School
£10
Tues
14th
April
Wed
15th
April
Thurs
16th
April
Fri
17th
April
Tick
Choice
Online Booking
Page 3
Child/young person’s name
Child/young person’s school
Child/young person’s age
Is your child/young
person:
Date of Birth
Male ( ) Female ( )
[please tick one]
Address (including postcode)
Telephone Number
EMERGENCY CONTACT
EPOSS requires all children
behave well. Failure to do so will
result in parents being phoned and
expected to collect child/children
immediately.
Name &
relationship
to
child/young
person
Telephone
Number
During the
activity
Any medical conditions, disabilities or allergies (e.g. asthma, nut allergy )?
If yes, please give details.
Will the child/young person require help with transport to and from the activity?
EPOS transport is for Free School Meals pupils ONLY and is available on activities marked with a T
Yes ( )
No ( )
[Please tick one]
Will the child young person be:
Picked up after the session ( ) Allowed to walk home on their own ( )
Accessing EPOS transport ( )
[Please tick one]
Do you give permission for photographs/films to be taken of your child for use by Extended
Services & partners (e.g. for newsletters, websites)?
Yes ( ) No ( )
[Please tick one]
Please note the following:
-We will not accept responsibility for loss or damage to any personal belongings.
-If your child has any additional needs, please contact us to discuss necessary arrangements.
Parent/Carers Name:
Parent/Carer
Signature:
MUST be Parent or Legal
Guardian