Contact details
In case we need to get hold of you in an emergency, we ask that all members supply contact information. Please note; we will never send any junk mail out by post or via email.
Please complete the information below and press "submit".
Full name of member *
Your answer
Member number
Your answer
Gender *
Venue of class attended
Type of class attended
Start time of class attended
Your answer
Address
Including house number, street name, town, County and POSTCODE please
Your answer
Date of birth *
Your answer
Home telephone number
Your answer
Mobile telephone number(s) *
Please enter more than one if you are able, in case we need to get hold of a parent, guardian or family member in an emergency
Your answer
Email Address *
Your answer
Any medical conditions we should be aware of? *
These will remain on file for coaches to be informed of. Please state any relevant information no matter how small or seemingly insignificant, including allergies, previous injuries or medication. If none, please put NONE
Your answer
Any previous gymnastic or trampoline experience?
Your answer
Please tick the following: *
*
*
Occasionally photos or video may be taken for promotional purposes.
We will always try to seek permission from parents when possible, but if you strongly deny authorization for this, you can opt out.
Name of person completing this form *
Your answer
Relationship to member
Put "SELF" if this is for you, or parent/guardian/carer
Your answer
Submit
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