J.M.Acrobatics Enrollment Form
Please fill out the information below. We will contact you as soon as a space becomes available.
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Student full name: *
Student Date of birth: *
Parent/Guardian full name: *
Emergency contact number: *
Additional Emergency contact number:
Email: *
Home Address: *
Post Code: *
Please select which classes you would like to enroll onto
Medication taken/Conditions/ Allergies/ Injuries/ Hearing or Sight impairment: *
Previous experience- Acrobatics, Dance or Gymnastics. Please also state previous exams taken or level previously studied: *
I give consent for my child to be given any emergency treatment deemed necessary by either J.M.Acrobatics qualified first aiders or emergency services. *
I give my consent for any instructor at J.M.Acrobatics to use their physical contact technique. *
I grant J.M.Acrobatics the right to use photographs/videos or reproductions/adaptations of the photographs/videos for purposes in relation to J.M.Acrobatics work Including Website, Facebook, Instagram, Newspapers/magazines. *
Any further information you wish to let us know
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