28
HEALTH
29
Basildon Sports Centre
QUESTIONNAIRE
Monday to F
riday
TIME PRICE
Fast card Number:
Family Squash 5.20 - 6.40pm £1
Family Table Tennis 5.00 - 8.00pm £1
Post Code:
How would you like to receive updated information on new and exciting activities
Fridays
happening across the district?
Family Badminton 5.00 - 8.00pm £1
Post:
Email Address:
Parent and Child Indoor Cricket Challenge
Mobile Text Alert:
Free
Activity:
Saturday 26 September 2009
11am - 3pm
Please complete the following questions firstly before you start your first session and then
Refreshments Available
again after you have completed 10 activities:
Contact 01268 465459 for more information
How many sports or physical activies of 30 minutes or more do you do a week?
Working in Partnership with the Workers Education Association (WEA)
Now After 10 activities
How often do you get your five a day ? (portions of fruit and veg)
The K
Now After 10 activities
nares
A176
What is your weight ?
Nether M
a
yne
Now After 10 activities
Basildon
Sports Centre
A176
Nether M Don’t forget to complete your activities on the reverse to claim your £10 voucher.
a
yne
Many Thanks
Nethermayne, Basildon, Essex, SS16 5NN
Well done you, now treat yourself!
T : 01268 533166
tr
eet
E :
basildonsportscentre@basildon.gov.uk
y S
Dr
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