Term 4 2018 UNDER 7s Gym class registration - Autism Intervention Trust
The Autism Intervention Trust with the support of Capital Gym Sports run two gym classes on Sunday mornings during school term time.* The aim of the classes is to provide opportunities for children on the autism spectrum to enjoy a gym class and gain skills in an environment and with a routine that works for them, and most importantly to have fun!

Enrolment is required for each term, and siblings are also welcome.

The two classes are loosely split by age.

THIS REGISTRATION FORM IS FOR THE YOUNGER CHILDREN'S CLASS.

The class for younger children (under 7's) is less structured with children following simple routines and having opportunities to explore the equipment. The under 7's class runs from 9 am to 10 am. The classes are run during the School term, from 7th Oct- 16th Dec 2018 (no session 21st Oct)

As it sometimes takes a while for children on the spectrum to actively engage in activities, the Autism Intervention Trust offers the first term of classes free of charge. There are no strict rules about age so please register / enrol your child/ren in the class which would suit them best.

While Capital Gym Sports provides coaches to direct the sessions, it is a requirement that parents / caregivers stay with the children during the class. The gym equipment is full size and children need to be adequately supervised for safety reasons. We also find when parents / caregivers and siblings actively engage in the class as well, the children gain more from the class. Siblings also make great teachers!

If you wish to continue after your first term there is a cost to enrol:
$60 per term for Autism Intervention Trust financial members, or
$70 per term for non financial members.
(Prices quoted are including GST)

We hope to see you at a class soon,

Ngā mihi

The Autism Intervention Trust team.

*Dependent on class numbers / enrolments.
Capital Gym Sports, 11 Hutchison Road (behind Toi Whakaari), Newtown Wellington.

Email address *
Has your child attended this gym class before? *
Children can attend for the first term free of charge to see if it works for them, subsequent terms require a fee.
Child/ren's name(s) *
Please include surname
Your answer
Child/ren's date of birth *
dd/mm/yy
Your answer
Will siblings also attend? *
If siblings are attending, please provide name(s)
Your answer
Parent / Caregiver name(s) *
Please include surname(s)
Your answer
Contact email *
Your answer
Contact cell phone
In case we need to text late cancellation or change of class times.
Your answer
Address *
Your answer
What is your Autism Intervention Trust membership status? *
Financial members have paid an annual membership fee and are entitled to discounts.
Use of image consent. *
The gym classes are provided at a discounted rate. This is possible through the support of a number of sponsors and grant funders. To support our proposals, the Trust uses photos to promote the gym classes with funders. Photos from the gym classes may also be used in other promotional material, such as our Annual Report and through social media. Do you give the Autism Intervention Trust permission to use photos of your child for these purposes?
Is there any information about your child the instructors need to know?
The gym classes are supervised by instructors employed by Capital Gym Sports, not the Autism Intervention Trust. From a health and safety perspective, please briefly note any challenges that may impact the safety of your child, or the safety others, that the instructors need to be aware of?
Your answer
Please acknowledge that you have read and accept the following parent / caregiver health and safety agreement. *
Parent / caregiver agreement: I/we agree to ensure our child/ren are adequately supervised at all times during the gym class, and I/we agree to follow all safety instructions as advised by the Capital Gym Sports instructors.
Required
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