If registering more than one person, please enter the name of the lead member first.
*
= Mandatory
*
Select
Waiting List For Hindhead Venues (Amesbury and Woolmer Hill)
GYMNASTS DETAILS
First name
*
Last name
*
Gender
*
Select
Male
Female
Date of birth
*
Day
1
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Month
Jan
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Year
2024
2023
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Age
Address 1
*
Address 2
Address 3
Town
*
County
*
Post code
*
School / College attended
MEDICAL INFORMATION
Is your child physically fit and healthy enough to participate in gymnastics?
*
Select
Yes
No
Does your child have a medical condition or additional need?
*
Select
Yes
No
If YES please provide full details
Does your child need to take any medication in the gym? i.e. Inhaler
*
Select
Yes
No
If YES please provide details of the medication required
FIRST AID CONSENT: In the event of an injury at the club do you give consent for medical treatment to be administered?
*
Select
Yes
No
PARENT / GUARDIAN INFORMATION
Parent / Guardian first name
*
Parent / Guardian last name
Mobile phone number
*
Home phone number
Email address
*
Verify email address
*
ADDITIONAL EMAIL TO BE COPIED IN TO COMMUNICATION (OPTIONAL)
Additional email address
EMERGENCY CONTACT INFORMATION
Emergency Contact Name
Emergency Contact Number
Emergency Contact - Relationship to Member
WE RUN CLASSES 6 DAYS A WEEK, THEREFORE PLEASE STATE BELOW WHICH DAY(S) YOUR CHILD WOULD BE AVAILABLE WHEN A SPACE BECOMES AVAILABLE
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Day
*
Select
Any of the days I selected above
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
PHOTOGRAPHIC AND VIDEO CONSENT
Occasionally photographs and videos will be taken during sessions for promotional purposes only. Images will only be used for club promotion on flyers, the club website or the clubs social media pages. Members will only be identified by first name if their image is used for such things as 'Gymnast Of The Month' and will only be used in accordance with the Clubs Safeguarding And Protecting Children Policy.
PHOTO/VIDEO AGREEMENT - Do you give consent for your child to be included in photos or videos?
*
Select
Yes
No
Date added
Do you wish to receive emails informing you of products and services provided by Excel Gymnastics Academy?
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Yes
No
By clicking this box you are agreeing to the Excel Gymnastics Academy Ltd Terms and Conditions and Privacy Policy
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