Multisports at Cambourne: Booking and consent form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Multisports at Cambourne Fitness and Sports Centre, Back Lane, Great Cambourne, Cambridge CB23 6FY

Free taster session on Tuesday 22 October, 11.00-1.00

Term-time Tuesdays from 5 November 2024, 6-week blocks
11.00-12.00: Ages 7-11
12.00-1.00: Ages 12-15

Please complete this form in full to book a place for your child. One form per child.

Cost: £7 per child, £5 for siblings (to be invoiced after free taster).

Any questions, please get in touch before you complete this form at: info@gkfit.co.uk

Email *

Full name of child

Which session are you booking?
*

11.00-12.00 (7-11 years)

12.00-1.00 (12-15 years)

Age of child

Name of parent / carer

Contact telephone number of parent / carer

Alternative emergency contact telephone number

Please state below any medical needs your child has that may affect their ability to participate in physical exercise / this activity.
If none, please state "none".

Please state below any other needs your child has that may affect their ability to participate in physical exercise / this activity.
If none, please state "none".

Activity disclaimer
*

By participating in any activity operated by GK Fit Ltd, your child does so at their own risk. GK Fit Ltd and Georgia King Johnson do not accept any responsibility or liability to your child for any and all injuries caused by, or resulting from, participating in this activity. To take part in sports sessions your child must be in good physical health.

In consideration of my child being allowed to participate I assume the risk of all injury and agree not to hold GK Fit Ltd or Georgia King Johnson liable for any and all injuries caused by or resulting from participating in this activity.

Please tick box below.

I agree to the above terms

Required

Payment
*

After the free taster session, payment must be made in advance before your child can attend subsequent sessions. You will be invoiced for the half-term via email if your child chooses to continue.

Please tick box below.

I understand that payment must be made before my child can participate in paid sessions

Required

Responsibility
*

In the occasional event that GK Fit is running the session without a volunteer, we kindly request that parents/carers stay on-site with their child or give permission for them to leave the activity area alone (ie. to go to the toilet). GK Fit Ltd does not accept responsibility or liability for any child once they have left the activity area. For more information, please email info@gkfit.co.uk

Please tick box below to agree to these terms.

I will always be on-site

I will only be on-site if there is no volunteer

I give permission for my child to leave the activity area alone

Other:

Required

First aid
*

In the event of an accident or emergency, GK Fit Ltd may need to perform first aid on your child. Without this permission, you must accompany your child at all times.

Please tick one box below.

I give GK Fit Ltd permission to use first aid on my child

I do not give GK Fit Ltd permission to use first aid on my child. I will accompany my child at all times.

Required

Photography
*

Occasionally, GK Fit Ltd uses photographs or videos of young people (in print, online or social media) for promotional purposes. GK Fit Ltd will not allow images of your child to be taken without your consent.

Please tick one box below.

I give GK Fit Ltd permission to use my child's photograph for promotional purposes only

I do not give GK Fit Ltd permission to use my child's photograph

Required

Confidentiality

All information on this completed form will be held securely and will only be shared with others who need this information in order to meet the specific needs of your child.

Please type your name below to show you understand and consent to this form *

Date *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of GK Fit. Report Abuse

Forms