<p> Heart of England REGISTRATION FORM 26th February 2014, Willenhall E-Act Academy, Walsall</p><p>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.</p><p>Title: Name: Position/role: Organisation / school, etc. Telephone: Email: Dietary or special requirements:</p><p>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 </p><p>Conference fees (please tick in the box)</p><p> afPE £95 £120 Non-member £115 £140 member Booking Booking before 31st before 31st January January </p><p>There are 3 methods of payment – please indicate your preferred option</p><p>1. Invoice ( ) 2. Cheque ( ) 3. BACs payment ( )</p><p>1. Invoice</p><p>Please send the invoice to:</p><p>Name:</p><p>Organisation:</p><p>Email:</p><p>Telephone:</p><p>Invoice contact and address:</p><p>Purchase order number if required:</p><p>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.</p><p>3. BACs payment The sort code and account details will be forwarded on request Heart of England </p><p>How did you hear about this conference (please tick) afPE members newsletter afPE website</p><p>Word of mouth Promotional flyer</p><p>Other</p><p>By completing and returning this registration form you are accepting the terms and conditions as set out by afPE.</p><p>Signature: ______Date: ______</p><p>Line Manager Signature: ______Date: ______</p><p>Please return this form no later than 14th February to Jayne Piller Email: [email protected]</p>