Belfast Community Sports Development Network
BCSDN Booking Form 2018/19
Check out this short video below showcasing some of the work we do in the community!
Group Project/ Name: *
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Address: *
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Postcode: *
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Telephone Number: *
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Email address: *
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Name of person overseeing the programme: (Please provide mobile number in case of emergency) *
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Group/ Project Child Protection Officer Details: (Please provide name & contact number) *
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Venue address of programme if different from above:
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Age range of group? *
Length of programme required: *
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Which day of the week do you want your programme to run? *
Required
What time do you want the programme to take place? (Must be one hour blocks) *
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Activity Required: (Please note all activities are offered on the availability of coaches at time of booking) *
Required
Start date of programme: *
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Do any of the participants have any special requirements? e.g. dietary requirements, mobility issues, hearing etc. *
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Are classes being requested under a different project name i.e. healthy hearts project, active women project.... *
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How did you hear about BCSDN? *
Would you like to be added to our monthly newsletter to stay up to date with us regarding our services, programmes and news? *
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