Halloween

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Halloween Party

Do You Dare To Be Scared? Come to The Zone on 6.00 pm - 8.00pm 7.50 Per Child 5 yrs - 12 yrs

Wednesday 31st October 2012

Book now at reception to avoid disappointment ! Closing date for booking is Monday 29th October. For more information or to book please contact: 01484 484134 / reception@thezone.uk.com

APPLICATION FORM
Childs Name 1: ................................. Childs Name. . Age: ... Address: . Postcode: ... Medical Issues: ... Parent / Guardian Details Name: . Contact Numbers: DAY . . ... NIGHT

Payment Details: Credit / Debit Card - Solo


box)

Maestro

Visa

Mastercard

(Please tick

Card Number Expiry Date

Security Number (on reverse of card)

Valid From (Maestro / Solo only)


I enclose a cheque / postal order made payable to Sporting Pride Community

Issue Number
Please print address and course reference on the back of your

Card Holders Signature .

Date

TOTAL AMOUNT

Email Address: .. (Registered Charity No: 1117768) In the event of my son / daughter being injured whilst attending an Zone Activities session and I cannot be contacted on the above number, I hereby give my consent for my son / daughter to receive medical attention. YES / NO I agree that The Zone venue are NOT liable for any loss, damage or injury which may arise as a result of my son / daughter attending. YES / NO Do you have any objections to photographs being taken of The Zone Activities for publicity purposes. YES / NO * Please note - once you have returned your application form you will NOT receive confirmation.

Mail to: The Zone, Off St Andrews Road, Huddersfield, If you would like to book or require further information please contact: Main Reception: 01484 484134 :

HD1 6PT

You might also like