The BEST Centre & Burnley Gymnastics Club: Contact & Medical Information

Please complete this form as accurately as you can, prior to your first Gymnastics session here at The BEST Centre & Burnley Gymnastics Club.

If you need any further assistance in completing this form - please do not hesitate to contact us via email at or call 01282 455068

We look forward to welcoming you to The BEST Centre & Burnley Gymnastics Club
The BEST Centre & Burnley Gymnastics Club
Full Name of Participant (First and Surname) *
Address (Please Include Post Code) *
Contact Telephone Number *
Email *
I can confirm that I / my child are physically fit and healthy to participate in sport *
Do you consider you or your child to have a disability? *
If you answered 'YES', please state the nature of the disability and please indicate any medication or health needs you or your child may need. If you answered 'NO' please insert 'N/A' *
Please give details of any specific dietary requirements *
Please indicate the day and time of the gymnastics class you or your child will be starting
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