ParentGuardian Details Childs Details Recreation Registration Form 20112012

Parent/Guardian Details Child’s Details Recreation Registration Form 2011/2012 Membership Number R 11/. . . . . Name: Surname: Date of birth: Class: Membership fees FREE Name: Address: Post code: Contact details: Home: POLICY AGREEMENT Medical details: Emergency Mobile: E-mail: In case of emergency please list an alternative contact should we be unable to reach you. Emergency contact: Relationship: Please advise if your child suffers from any of the following: Asthma Eczema Migraine Hayfever Epilepsy Allergic to plasters – Yes No Please give details of any other medical condition we should be aware of: Zippy’s Gymnastics Academy occasionally takes photographs for promotional use. If you do not wish your child to be included please include a letter to this effect with your completed application form. Zippy’s gymnastics Academy is committed to conducting its activities in the safest manner possible. We hold the safety of the participants in the highest possible regard. However parents must recognise that there is an inherent risk of injury in the sport. Parents are responsible for children under 3 yrs and must remain with them at all times. Children are not permitted to climb or play on any apparatus other than under the direct supervision of a Zippy’s coach.

I understand that my payment is due on the first of each month. I understand that if my payment is late that a late charge of £ 5 may be levied at the discretion of the Club. POLICY AGREEMENT I understand that if I wish to withdraw my child from classes I require to notify the Club at least one week before the new month or I may be charged for the entire month. I understand that there are no refunds. However “catch-up” classes are available if a gymnast misses a class due to illness. Any “catch-up” sessions must be arranged in advance and within 2 weeks of the missed class. advance and opportunity during the current session. Please see detailed policies for further information. I must be currently enrolled to participate in a make-up class. ■ All gymnasts should arrive at the gym no less than 5 minutes before their class. ■ Hair must be neatly tied back. ■ No shoes or boots permitted in the gym. ■ Female gymnasts are asked to wear a leotard. ■ Male gymnasts are asked to wear shorts and a t-shirt or leotard Monthly Rate SIGNED _______________ DATE_________ 1 hour class School age £ 23. 40 Standing Order per month £ 25 Cash/Cheque per month £ 6 a trial 2 hour class Squad gymnasts £ 40. 50 Standing Order per month £ 42 per calendar month By invitation 4 hours ( 2 days a week) £ 55 per calendar month By Invitation Girls Mini Squad (1 hr 30 mins) £ 32 per calendar month By Invitation