Manchester Sport & Leisure Trust Brand Presentation

Manchester Sport & Leisure Trust Brand Presentation

Women Only
Part of Manchester Sports Academy
Session
Name ______________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________________
Post code __________________________Date of Birth ___________________________
Gender

Male

Female

Contact Number Home ________________ Mobile ____________________________
Email Address ____________________________________________________________
Ethnic origin
Bangladeshi
Black other Chinese
Mixed Ethnicity
Pakistani White

Black African
Indian
Other Asian Other

Black Caribbean

Ladies only Yoga and Gym sessions with a qualified instructor will be held every
Monday
between 12pm - 2pm from 18th January 2010 at Belle Vue Leisure
(Address: Kirkmanshulme Lane, Longsight M12 4TF. Tel: 0161 953 2470 or visit
www.manchestersportandleisure.org)
There will be a charge of 2.10 for the 2 hour session.
A one off gym induction fee of 5 also applies. Group inductions have been scheduled
for Monday 4th and 11th January between 12pm 2pm. Other times available on
request
Which other sports would you like to take part in, if organised exclusively for ladies?
Badminton Cricket
Football
Tennis
Hockey
Jujitsu
Table Tennis
Squash
Pool / Snooker
Other (please list) ________________________________________________________
Is there any thing that you feel is important that we need to know about?
e.g. health, disability, medications, transport, etc.
__________________________________________________________________________
Signature ___________________________________________ Date _____________________

Data Protection
We may use your information and data that you have provided above to help with any
administration, set up and running of this course, if you feel that we should not use your
information for this purpose please inform one pf the organisers, full details of all of our
terms and conditions can be obtained in writing to Manchester Sports Academy, details
below, by signing below you are agreeing with all our terms and conditions.
Manchester Sports Academy Address
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

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