October Activity Days Booking Request

T: 01254 292000

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Healthier Me Activity Days

Join us this Half Term for 5 days of discovering, Exploring and Achieving becoming a ‘Healthier Me’.

The programme is running from Monday 26th October – Friday 30th October 2pm-4pm where young people aged 8-12 can engage in a range of activities all designed to keep our bodies and minds healthy.

Places are limited, please book your spot using the form below. If you have any further questions contact us on 01254 2929000

Healthier Me Activity Days Booking Request

Childs Name

Childs D.O.B

Childs Address and Post Code

Childs Age as of 26th October

Gender

Parent/Guardian Name

Contact Number 1

Contact Number 2

Email Address

Does This Person Have Parental Responsibility?

I would like to book days (subject to availability):

My child is already a BYZ member
YesNo

Does your child receive a free school meal or have you recently applied for FSM?
YesNo

Do you authorise the taking and distribution of images of your child in relation to the Healthier Me's activity days
YesNo

Does your child have any additional or special needs?
YesNo

Does your child have any dietary requirements?
YesNo

Does your child have any allergies?
YesNo

Please keep me updated on Blackburn Youth Zone news and updates by email, post, SMS, phone or other electronic means. Blackburn Youth Zone will always treat your personal details with the utmost care and will never sell them to other companies for marketing purposes.
YesNo

Privacy Policy - I agree to my data being kept in accordance with the Privacy Policy.

We are Blackburn Youth Zone, a state of the art youth club facility located at the heart of Blackburn. Blackburn Youth Zone is a 21st century youth hub for young people aged 5 to 25 years old, aiming to irrevocably change the prospects offered to young people in the area.

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Healthier Me Activity Days

Healthier Me Activity Days Booking Request

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