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Performance Running Ltd. Full Name: ……………………………………………………………………

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Performance Running Ltd. Full Name: …………………………………………………………………… Winter Camp Booking form: “The Performance Running Summer Athletics Camp is a great vehicle for getting kids really excited about the Performance Running Ltd. Full Name: …………………………………………………………………….. sport of track and field athletics. Address: ………………………………………………………………………… Winter Athletics Camp They get a chance to not just take part in the various …………………………………………Postcode………………………………. athletics disciplines but actually train for those events, just like a top athlete would in a fantastic setting with Dec 19th – 20th 2011 Tel: ……………………………………Mobile:……………………………… some of the UK’s leading athletes and coaches. E-mail: …………………………………………………………………………. It was great having the chance to meet the kids and talk to them about what it was like while I was training and Age: ………DOB: …………………Male/Female………………………. competing and to offer them some advice as they begin Preferred event e.g. hurdles……………………………………………. on their road to perhaps one day Olympic fame too and I wish them and everyone on the project all the very Emergency contact name……………………………………………….. best?” Performance Running Ltd. Summer Emergency contact no……………………………………………………. Dame Kelly Holmes – Double Olympic Champion 2004 Athletics Camp Athlete £80 Coach/teacher £40 Sat 17th December 2011 Please make all cheques payable to Performance Running Ltd (8 Porchester, South Ascot, Berkshire SL5 9DY). To th Parental consent for photos/DVD: YES NO Sun 18Supported December by 2011 Important information Full sports kit, including kit for bad weather, plus extra Medical Information (E.g. asthma, allergies, dietary) kit to change into after sweating. …………………………………………………………………………………………. hose children who require Epi-pens must have a written (Any medical condition which may affect my child’s participation on the T Performance Running athletics camp has been fully disclosed. My child is consent letter giving our coaches permission to administer in good health and I consider him/her capable of taking part in the them, in case of emergency. Children who do not carry activities provided at the athletics camp. I consent that, in the event of any their inhalers will not be able to take part in the camp. illness/accident, any necessary treatment can be administered to my child, which may include the use of anesthetics or transfer to hospital. I also understand that, while the coaches at the Performance Running athletics Refreshment will be available from TVAC. camp will take every precaution to ensure that accidents do not happen, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child. Signed parent/guardian: ………………………………………………….. Offering the full range of track and field events, there When: Monday 19th – Tuesday 20th December 2011 The 2011 Winter Athletics Camp boasts a most will be specialist coaching from some of the UK’s [Must register by 12th December 2011] impressive lineup of top class international athletes leading athletes and coaches, providing a great and coaches including some of the following: Where: The D.E.L. Thames Valley Athletics Centre opportunity to have some fun and to take part in a Pococks Lane range of athletic disciplines. With the 2012 Olympics Eton, Windsor, Ania Massey Former World Youth bronze in the pole vault just around the corner, all those taking part will Berkshire SL4 6HN experience at first hand the Olympics premier sport; Adrian Patrick Former GB International 400m runner (45.6) athletics! Danny Hodge World Masters 400m hurdles Bronze medalist & former Te-Kwon-Do Champion ime: 10.00am till 5.00pm Saturday/Sunday. Dan Davies Former English schools 110m hurdles champion T & U15 / U17 110m record holder & No. 2 U20 Egryn Jones Coach to the former UK’s women’s junior & Cost: £80. This includes: senior Pole Vault record holders Joanne John GB bobsleigh team member and international . Entry to the newly refurbished TVAC track and all its hammer thrower The camp will take place at prestigious Thames Valley facilities. James McIlroy Northern Ireland 800m Record Holder & Fastest Athletics Centre on the playing fields of Eton Collage. Specialist coaching from some of the UK’s best athletes UK 800m for 13 years (1:44.65) and coaches. Julian Golley 1994 Commonwealth Games Triple Jump Champion There will, as always , be theory elements as well as . Specialist talks/lectures from leading guest speakers. Keith Fleming Former GB international long jumper & coach to our usual celebrity athlete interview, hosted by the . Celebrity athlete interview by the BBC’s Paul Dickinson. Commonwealth Games gold & silver medalists. BBC’s Paul Dickinson who is widely regarded as “the . A Craft T shirt. Larry Achike 1998 Commonwealth Games Triple Jump voice of athletics”. A signed certificate of attendance. Champion & two time Olympic finalist Simon Wells Former International decathlete Former guests have included Olympic champions: There will be official photos available to buy. Linford Christie, Sally Gunnell, Kelly Holmes & Denise Mark Wiseman UKA L 3 throws coach & masters international Lewis as well as extra special guest star Usain Bolt! The camp is open to any one aged between 8 and 18. Coaches & teachers are welcome too at a reduced rate of Matt Love UKA L 2 hurdles coach & multi-sports schools The camp will be split into two main groups: just £40 for both days. coach for Charters School, Surrey. Mo Farah World 5000m, European 5 & 10000m champion 1) Those athletes wanting to experience a range of arents, why not treat your selves to a free day pass to the athletics events across the track & field disciplines P Nick Leavey GB international 400m runner, ranked No.10 in throughout the weekend. newly refurbished Datchet & Eton Leisure gym while the kids the world indoors in 2009 are training on the camp? Rion Pierre European U23 100n bronze, 4 x 100m gold and 2) The other group has the option of training in World Junior 4 x 100m relay bronze medalist “event specific” squads, led by some the UK’s top athletes, so they can choose which event they Richard Aspden Former GB international & Commonwealth would like to specialise in for the duration of the Games High Jump finalist (2.20m). camp. helayna Oskan 5th in the 2008 Youth Commonwealth Games S English Schools 400 and National indoor and out 400m Champion Tim Benjamin Former British No.1 400m runner (44.56) senior World finalist & former European Junior Champion .
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