} Basingstoke - Stretch-n-Grow
Mon - Fri 9.00 - 16.00

Call us:

07508017213

 

Franchisee for Basingstoke

Kate is the Basingstoke franchisee

    Dear Parents,

    We need you to complete this Physical Activity Readiness Questionnaire in order for your children to participate in class,
    Thank you

    Nursery/School Name :

    Location :

    Your Child’s name :

    Please answer and choose as appropriate:
    Is your child known to have any heart problems? YESNO
    Is your child diabetic? YESNO If yes please tell us which type? TYPE 1TYPE 2
    Has your child got asthma? YESNO
    Has your child got any disabilities? YESNO
    If yes please provide more information?

    Is there any reason why your child cannot participate in any of our programmes at Stretch-n-Grow?

    Parent/Guardian Signature :

    Confirm the details are correct :

    Address :

    Telephone :

    Email :

     

     

     

     

     

     

     

     

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