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For young people with a learning disability from South Wiltshire

Thursday 16 February

10.15am – 2.45pm

15-25 year olds

Stratford Road Social Club, Salisbury, SP1 3JP

COME and join in the excitement of our February Fun Day

 Circle Time

 Music session

 Snack and drink

 Fun activities to be confirmed

 Art session

 Reflection time to plan 2017 fun days

Please bring a healthy packed

All great fun… cost £10.00 per person*

*Please note that lunch is not provided.

Send your completed form and cheque (payable to South Wilts Mencap) to;

February Fun Day, c/o Angela Ockenden, Mencap Shop, 16 Catherine Street, Salisbury, SP1 2AD.

CLOSING DATE: Sunday 12th February.

Please could you arrive at 2:30pm to collect as the hall is booked by another group at 3pm.

 

BOOKING FOR Feel Good February Fun Day, Thursday 16 Feb 2016

Young person’s name: Age:

Address including Post Code:

Parent /Carer Name:

Contact Numbers of Parent /Carer including mobile no:

Parent /Carer Address if different from above:

Email:

Is any Medication required whilst attending? Yes / No

If yes – what is the medication name and dosage?

Does s/he use a mobility aid? Yes / No Wheelchair, frame or stick

Is the young person diabetic? Yes / No Epileptic? Yes / No

Any food allergies? Please detail:

GP’s Name & Surgery:

Surgery contact number:

Have we consent to take photographs and record film footage to use for our charity purposes?

Yes / No

 


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