Heart of England REGISTRATION FORM 26th February 2014, Willenhall E-Act Academy, Walsall

Please register me on the PE Conference on the 26th February and for the workshops ticked (please tick one AM and one PM workshop only). Workshops will be reserved on a first come first serve basis. If the workshop you have requested is full we will contact you to discuss an alternative.

Title: Name: Position/role: Organisation / school, etc. Telephone: Email: Dietary or special requirements:

AM Workshops – 9.40-12.10 PM Workshops – 1.15-3.45 PW Gymnastics KS 1 and PW Using story in dance to 1 2- the language of 4 support the creative movement curriculum PW What makes effective PW Agility, balance and 2 physical education? 5 coordination linked to athletics for KS 1 and 2 PW Skills related to PW Assessing without 3 competition in 6 levels – fit for purpose basketball SW Integrating health and SW Gymnastics KS 3 and 1 well-being into your 3 4 – how to make curriculum gymnastics cool SW Assessing without SW What makes effective 2 levels- fit for purpose 4 physical education? PS Quality Mark 1 CW Coaches working CW Coaches supporting 1 alongside teachers to 2 school sport and support high quality pathways for young physical education people Heart of England

Conference fees (please tick in the box)

afPE £95 £120 Non-member £115 £140 member Booking Booking before 31st before 31st January January

There are 3 methods of payment – please indicate your preferred option

1. Invoice ( ) 2. Cheque ( ) 3. BACs payment ( )

1. Invoice

Please send the invoice to:

Name:

Organisation:

Email:

Telephone:

Invoice contact and address:

Purchase order number if required:

2. Cheque Please make cheques payable to: afPE Heart of England and send to Peter Knight at White cross Hereford, Three Elms Road, Hereford, HR4 0RN.

3. BACs payment The sort code and account details will be forwarded on request Heart of England

How did you hear about this conference (please tick) afPE members newsletter afPE website

Word of mouth Promotional flyer

Other

By completing and returning this registration form you are accepting the terms and conditions as set out by afPE.

Signature: ______Date: ______

Line Manager Signature: ______Date: ______

Please return this form no later than 14th February to Jayne Piller Email: [email protected]