• Welcome to online registration for Bulmershe Gymnastics Club. If your child is under 4 years of age please select Little Stars Registration from the selection below. For all other classes please select Club Registration.
  
  You will receive an acknowledgement email once registered. If you do not see emails from us in your inbox please check your junk/spam folder. The emails will come from mail@LoveAdmin.com so please trust this address.
  
  If you are under 16 years of age please ask your parent or guardian to approve the form on your behalf.
• If registering more than one person, please enter the name of the lead member first.

• * = Mandatory * Select Bulmershe Gym Club Little Stars Registration Bulmershe Gym Club Registration

• Privacy Statement
  We use the personal information you provide to identify an appropriate class for you/your child, to contact you about it and to ensure you/they are well supported and safe whilst participating in gymnastics. All personal information is held securely and will only be shared with coaches or others who need this information to provide gymnastics training and meet your/your child's needs. Please see our Privacy Policy on the notice board in the entrance hall or on our website www.bulmershegymnastics.co.uk under Club Policies

• Please provide the GYMNAST'S details:

• Membership number -

• What type of classes are you interested in?* Select Little Stars Classes (under 4) Fundamental recreational gym (4 and 5 years ) Foundation recreational gym (6 years and above ) Boys Freestyle (8 yrs and above ) Friday Freestyle/Parkour (girls and boys 8yrs and above ) Teen Gym (13 yrs and above ) Neurodiverse Gymnastics

• First name*

• Last name*

• Email address*
• Verify email address*

• Additional email address

• Gender* Select Male Female

• Date of birth*Day12345678910111213141516171819202122232425262728293031MonthJanFebMarAprMayJunJulAugSepOctNovDecYear20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924
• Age

• Is a sibling also a member of the club Select Yes No

• Address 1*

• Address 2

• Address 3

• Town*

• County / State / Region

• Post code*

• Contact Phone Numbers*

• Who to contact in an emergency?*

• Emergency phone number?*

• Medical or diagnosed conditions*

• Please provide any other information including any disability/additional needs (eg religious requirements) the club should be aware of, which will help us to make appropriate adjustments and support you/your child.

• Please tell us about any previous gymnastic experience

• From time to time the club may wish to use photographic images of a member either alone or in a group of others for teaching or publicity purposes. Please indicate below where you consent to the club publishing photographic images.

• Images
  • In the gym or club newsletter
  • In local press
  • On the club`s web and social media sites
  • I do not give consent for ANY images to be used

• I agree that the club may send me by email other relevant club information and news about gymnastics activities.* Select Yes No

• Participation Agreement and Declaration
  
  Gymnastics and Trampolining activities have an inherent risk of injury and although the club will endeavor to minimize any risk, accidents may still happen. All members to abide by the safety rules, codes of conduct and other Club policies currently in force, at all times.
  
  I declare that I understand the element of risk and will adhere to the Club rules and codes of conduct. I agree to emergency medical treatment or first aid which, in the opinion of a qualified medical practitioner or first aider, is necessary.
  
  I confirm that I am/my child is physically fit and healthy to participate safely in gymnastics.
  
  I confirm that, to the best of my knowledge, all information provided on this form is accurate and that I will notify the club of any changes. I agree that the club may hold this information about me/my child.

• I agree to the above participation agreement* Select Yes

• Date added

• For Gymnasts who are under 16 years please provide the parent/guardian name and contact details (if different from above).

• Guardian first name

• Guardian last name

• Guardian mobile phone number

• Guardian home phone number