Year 4 and 5 Say Hello To Hockey Booking and Consent Form

Thank you for your interest in the Year 4 and 5 Say Hello To Hockey morning at Princethorpe on Saturday 28 April 2018 - unfortunately, this event is now fully booked.

The morning is aimed at children of all skill levels, including those who have not necessarily played hockey before. Taught by Princethorpe's experienced sports coaches, including national level hockey players, this event is aimed at both boys and girls and will be a fun and informal experience of this energetic and fast paced sport.

There is no charge for this event and all equipment will be provided as well as mid-morning refreshments. The day will commence at 9.30am and end at approximately 12.00pm.

Please check back for updates as information about our June 2018 Year 5 Themed Taster Day will be released shortly. General Year 5 Taster Days are also available during the Spring and Summer Term. Places for these are allocated on a first come, first-served basis. For more information please follow this link: Year 5 Taster Day Booking Form


Child's Forename: *
Child's Surname: *
Child's Date of Birth ie XX/XX/XXXX: *
Child's Current School: *
The above named child is in: *
Please state here whether the above named child has any previous experience of playing hockey. Please note that this is not a requirement and children of all abilities are very welcome. *
Child's home address: *
Contact Name and mobile number 1
(for emergency use on day if necessary) *
Contact name and mobile number 2 if possible:
Contact email address: *

Information and Consent for Visiting Pupils

Please state any dietary requirements:
Please state any allergies:
Any relevant medical information:
Will your child be bringing any personal medication into school, such as EpiPen, anti-histamine, or inhaler? If so, please give all relevant details:

Please state below the actions they you give/do not give permission to the medical staff to take:

The administration of First Aid Medical treatment: *
The administration of non-prescription medicines: *

Please state below whether you give permission for images of the above named pupil to be used as indicated. Children's names will not be given. 

Images can be used for internal purposes, for example school displays: *
Images can be used in externally visible sources, for example Foundation websites, e-newsletters, social media accounts or in local media: *
Parent/guardian's name and date: *

Thank you for completing this form. Any queries relating to the day please contact Miss Helen Morgan on 01926 634262 or email

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Please leave the next box blank or your submission will not be accepted: