Registration & Participation form

Child's details

Required field

First name

Last name

Date of birth

Addresses

Address

Postcode

Email address

Main carer

Name

Relationship

Telephone no

Emergency contact

Name

Relationship

Telephone no

Class(es) requested

Limited spaces for each class. Places must be prebooked and full payment received before places are confirmed.

Classes

THURSDAY 4.30pm 4-6 years

THURSDAY 5.30pm 7-8 years

THURSDAY 6.30pm 9-11 years

THURSDAY 7.30pm 11 – 16 years

THURSDAY 8.30pm Adults 16 years +

FRIDAY 4.00pm 4-6 years

FRIDAY 5.00pm 7-8 years

FRIDAY 6.00pm 9-11 years

SATURDAY 9.00am 4-6 years

SATURDAY 9.00am 7 years +

SATURDAY 10am – 12pm competition group by invitation

Acro - by invitation

Health & Medical questions

Please tick Yes/No to the following questions.
If you have answered * please provide full details in the box below:

Is your child physically fit, healthy and able to participate in gymnastics? Yes No*

Does your child have any medical conditions or allergies? Yes* No

Does your child require medication? Yes* No

Has your child had any major operations, serious accidents or broken bones? Yes* No

Are there any reasons which may affect your child’s safe participation in the class? Yes* No

Medical answers

Photography & filming

Occasionally we may take photographs or videos during class, displays or competitions for promotional and training purposes.

If you do NOT consent to photography please tick this box

I consent to the sharing and storing of my data with UK Gymnastics Ltd, British Gymnastics Ltd, Yorkshire Gymnastics Association, Insurance Intermediaries and Underwriters to enable membership, insurance cover and competition entries to be arranged.

I also consent to the sharing of my data with the NHS Covid-19 Track & Trace system if required.

We take your privacy very seriously and are committed to complying with data protection law and General Data Protection Regulation. Please refer to our Privacy Policy which is on our website.

Please note if you do not consent you will not be eligible to hold membership at our club.

If you do NOT consent to the privacy policy please tick this box

Covid-19 safety agreement

We follow the Government and gymnastics governing body health and safety guidelines to minimise the risk of Covid-19 infection. Parents, carers and gymnasts must also abide by the guidelines set out on our notice board and on our website to help prevent the spread of the virus.

Leaving the gym

In the interests of safety we do not allow any child under the age of 11 to leave the gym on their own. Older children may leave without a parent/carer only if we have your permission to do so.

I give permission for my child who is over 11 years old to leave the gym unaccompanied. I understand that Olicana Gymnastics do not have any responsibility once my child has left the gym doors.

Please tick this box if you give permission for your child to leave unaccompanied

Participation agreement

Gymnastics activities have an inherent risk of injury and although the club will endeavour to minimise risks and adopt safe practices, accidents may still happen. Club members must be physically fit and abide by the safety rules and codes of conduct at all times. Parents/carers and spectators must also abide by the safety rules and codes of conduct found on the club notice board and website.

Signature

Signed by (name)

Date signed

Thank you for completing the registration form.

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Term dates

Latest update

Registration & Participation form