Form May 17_Layout 1 30/05/2017 16:14 Page 1 PLAY SCHEME APPLICATION Child’s Name: ............................................................................. Date of Birth: ........................... ................................................................................................... Post Code: .............................. Address: .......................................................................................................................................... Email Address:................................................................................................................................. Name of Parent / Guardian:............................................................................................................... Telephone Home:........................................................ Mobile:.................................................... Telephone Home:........................................................ Mobile:.................................................... Name of 2nd Emergency Contact:..................................................................................................... Name of School Child Attends:......................................................................................................... Relevant Medical Details: ................................................................................................................. ........................................................................................................................................................ Does your child require one to one support? Scheme Number Yes / No PLAY SCHEME REQUIRED Venue Which days do you require? Total Cost £ £ £ Cost £ Parent / Guardian Signature: ............................................................................................................. Please return completed form with payment (cheques payable to BPA) to: Bucks Play Association, Booker Park School, Stoke Leys Close, Aylesbury, Bucks HP21 9ET To book or for further information Call 01296 745827 or email [email protected] Website: www.bucksplay.co.uk Form May 17_Layout 1 30/05/2017 16:14 Page 2 Form May 17_Layout 1 30/05/2017 16:14 Page 3 SUMMER Monday 24th – Friday 28th July 2017 (10am – 3pm) 5A Let’s Play Together ‘Beach’ Theme Play Scheme (Ofsted Registered) Venue: Stocklake Park School, Stocklake, Aylesbury, HP20 1DP Course: 5 day Play Scheme. Includes Hawaiian Fancy Dress Beach Party with Dan Blaze and many more fun and stimulating activities for everyone! Cost: £62 for 5 days (£57 concession rate) or £15 a day (£11 concession rate) except Wed 26 July £17 (£13 concession rate) for Wed 26 July Monday 31st July – Friday 4th August 2017 (10am – 3pm) 6A Let’s Play Together ‘4 Legged Friends’ Theme Play Scheme (Ofsted Registered) Venue: Stocklake Park School, Stocklake, Aylesbury, HP20 1DP Course: :5 day Play Scheme. Includes a visit from Basil and Crew's Mobile Farm (Tues 1 Aug) and many more fun and stimulating activities for everyone! Cost: £62 for 5 days (£57 concession rate) or £15 a day (£11 concession rate) except Tues 1 August £17 (£13 concession rate) for Tues 1 August To book places on any of the courses please call 01296 745827, e: [email protected] or complete and return the attached booking form There are limited places on all Play Schemes/Courses so please book early to avoid disappointment Form May 17_Layout 1 30/05/2017 16:14 Page 4 2017 Monday 21st – Wednesday 23rd August 2017 (10am – 3pm) 7A Let’s Play Together ‘Transport’ Theme Play Scheme (Ofsted Registered) Venue: Stocklake Park School, Stocklake, Aylesbury, HP20 1DP Course: 3 day all-inclusive Play Scheme with fun and stimulating activities for everyone! Cost: £36 for 3 days (£60 concession rate) or £15 a day (£11 concession rate) Thursday 24th – Friday 25th August 2017 (10am – 3pm) s 8A B.P.A. Indoor Multi-sports Course Venue: The Fairford Leys Centre, Hampden Square, Aylesbury, Bucks. HP19 7HT Course: 1 day Multi-sports course (Thurs 24 Aug) + 1 day Trip to Green Park FootGolf Course for a round of 9 hole football golf (Fri 25 Aug). Cost: £30 for 2 days (£27 concession rate) or £15 (£11 concession rate) for Thur 24 August £20 (£16 concession rate) for Fri 25 August Price includes transport to and from Green Park FootGolf Course via private coach hire. What to Bring to the Play Scheme Clean trainers, hat, sun-cream, packed lunch, drinks and appropriate clothing for weather conditions Other Bucks Play Association Services
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