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Weston Gymnastics

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REGISTRATION AND PARTICIPATION AGREEMENT

Please complete the form below as a new number we can not wait to meet you but we need some key bits of information first.

Section A : Personal Details of Member

Gymnasts Name *

First

Last

Parents / Carers Name *

First

Last

Email (Parent) *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent Phone Number

Emergency Contact (Name & Number) *

Gymnasts Birthday *

Do you consider yourself to have a disability?

Yes
No

If “yes” please state the nature of the disability:

Medical Details - Please tick of box if any statements are true.

The Pupil has a heart condition
The pupil feels chest pain during physical activity
Pupil has lost consciousness during physical activity
Pupil takes (any form of) medication
Pupil has any bone or joint problems
Pupil Suffers from epilepsy
Pupil Suffers from Asthma
Pupil Suffers from Diabetes Mellitus
Pupil Suffers from food allergies
Pupil is allergic to face paint or make up
Has other health issues (please detail below)

Please state any medical condition that the coaches may need to be aware of: including allergies

In order to help our club monitor its membership please tick one of the boxes to identify your ethnic group:

Bangladeshi
Black African
Black Caribbean
Black Other
Chinese
Indian
Pakistani
Asian Other
White British
White European
White non European
Other

I can confirm that I am physically fit and healthy to participate. *

Yes

Gender *

Male
Female

Section B : PARTICIPATION AGREEMENT

Gymnastics & Trampolining activities have an inherent risk of injury and although the club will endeavour to minimise any risk, accidents may still happen. It is incumbent on all members to abide by the safety rules and codes of conduct at all times. I have read the parents handbook and agree to abide by the club rules and regulations. The participant/parents are required to ensure that the member is physically fit and healthy to participate, particularly after illness or injury. I have informed the head coach of any medication required and am happy for the gymnasts named to receive emergency treatment. In signing this participation agreement, I declare that I understand the element of risk and I am willing to participate and will adhere to the safety rules and code of conduct. Any changes to my child's / Gymnasts medical needs will be forwarded to the club manager in writing. *

I understand & Agree to the above statement

I understand that photo’s/ videos of my child may be used for training and promotion purposes I agree to emails being to sent to me from the club I agree to follow all covid procedure’s set by British Gymnastics and the club. These permissions maybe withdrawn at anytime by writing to the club manager. *

I understand & Agree to the above statement

I understand during the normal training and performances of the gymnastics classes the coaches will use appropriate physical contact to correct positions or postures of the gymnast, knowing that coaches will refrain from contact during periods of viral or infectious diseases. *

I understand & Agree to the above statement

I understand "the club" nor any of its staff or coaches do not accept responsibility for any personal injury if any of the following apply: A. The pupils doctor has advised against any such activity B. The pupils fail to observe instructions on safety or technique C. Such injury is caused by negligence of another participant in class. *

I understand & Agree to the above statement

I understand I need to fill in the registration details on British Gymnastics website after paying the club *

I understand & Agree to the above statement

Sign the box below with the full parents name to confirm you have read the above conditions & understand joining the club I undertake the responsibilities involved *

Registration fees are currently £27 payable to Weston Aerobic Gymnastics Ltd

Link to British Gymnastics Insurance https://www.british-gymnastics.org/renewal-options

Hours & Info

The Potteries Centre
Langford Road
Weston-super-Mare
BS23 3PQ

3Words# swan.envy.hoot

01934 620240

members@westongymnastics.com

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