Date of Birth *

Please indicate if you will be paying for the course or drop in? *

In signing this form, I the parent/guardian of the aforementioned child, affirm that I have read this form in its entirety and I have answered the questions accurately and to the best of my knowledge. I understand that my child is responsible for monitoring him or herself throughout any activity, and should any unusual symptoms occur, would ease participation and inform the instructor. In the event that medical clearance must be obtained before my child’s participation in an exercise session, I agree to contact the GP and obtain written permission prior to the commencement of the exercise activity, and that the permission be given to the instructor. I understand that if my child fails to behave in a manner that is polite and social, he or she could be suspended from that particular activity. *

I grant full rights permission to Hove Hornets Fitness to use any likeness of the aforementioned child resulting from the photography, video filming, recordings and any reproductions or adaptations of the images for any legitimate purpose. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications. *