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Supervisor Name *

Facilities at Session

Please tick ✔ to confirm that the following items have been checked *
All equipment is safe and appropriateThe playing area and facilities have been checked for actual or potential hazardsA register of participants has been maintainedParticipants’ previous experience has been establishedParticipants’ clothing, footwear, eyeglasses and jewellery have been checked as appropriate

Please tick ✔ to confirm that the following have been explained to participants *
Health and Safety proceduresThe rules of the facility/venue/sessionAny potential hazardsThe emergency procedures

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