Untitled Document

Woody's
Goalkeeping
School

Woody's Goalkeeping School

Sponsored by

In Association with

To attend any of the courses on the website, please Can you send back the completed form (below) or the download here: -

Application Form

to
‘Woody's Goalkeeping School,
19 Moordell Close, Yate, Bristol. BS37 4BU'
with a cheque for the correct amount made payable to ‘Paul Woodford'

Woody's Goalkeeping School Application Form

Name_____________________________ Date of Birth__________ Club Team_________________

Address_________________________________________________Postcode_________________

Tel. No. _____________________ Work/Mobile______________ E-mail _____________________

Do you have any medical problems we need to be aware of?__________________________________

________________________________________________________________________________

Medical Consent

I, on the behalf of my child _____________________ hereby authorise the administering of first aid procedures as may be deemed necessary in the event of my child is injured whilst involved with the activity. In an emergency I further authorise the medical person treating my child to act on my behalf, providing that they first make such diligent effort as the nature of the emergency permits to notify me.

Photographs

I give permission for the above person to have their image taken on a still or moving picture whilst at Woody's Goalkeeping School .

Signed _________________________________________________ (parent/guardian)

Date___________________________

Confirmation of receipt of payment will be sent out by e-mail a couple of days before the commencement of the course (to the e-mail you have left).
However, you may telephone for confirmation as well.