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St Peters Cheerleading Club - Autumn Term
FRIDAY AFTER SCHOOL
15:15 - 16:15
DATES: 12th September - 12th December
(EXCLUDING 24th & 31st October half term & 28th November)
11 CLASSES IN TOTAL
Coach: Skye Burke
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Email
*
Your email
Childs Full Name
*
Your answer
Childs DOB
*
MM
/
DD
/
YYYY
Year Group?
*
YEAR3
YEAR 4
YEAR 5
YEAR 6
MEDICAL CONDITIONS/ ALLERGIES?
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Your answer
Are there any cultural/ religious needs or requirements the coach needs to be made aware of to support the participant?
*
Your answer
Do you give consent for the coach to administer first aid to your child if required?
*
YES
NO
Do you give consent for your Child to be included in photos/ videos for AZURE marketing purposes?
*
YES
NO
Parent/ Guardian Contact Name
*
Your answer
Parent/ Guardian NUMBER
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact NUMBER
*
Your answer
I am happy to be added to the Class WhatsApp group for updates and information purposes?
*
YES
NO
I understand that I will have to pay £85.25 (11 classes) via bacs no later than 28/08/2025, if payment is not received this place will be offered to another child.
Please note:
Places are
non refundable
and given on a first come first served basis only secured once payment has been received in full.
Payment via bacs to:
AZURE GYMNASTICS AND CHEER
BUSINESS ACCOUNT
S CARROLL BURKE
Account number: 24284764
Sort code: 04-06-05
Reference - CHILDS FULL NAME
*
YES
AZURE CHEERLEADING
Thank you for registering your child up for our cheerleading class :)
If you have any questions please do not hesitate to contact me via the details below and I will respond to you as soon as possible.
Skye Burke - Head Coach
INSTAGRAM - AzureGymnasticsAndCheer
EMAIL - AzureDance00@gmail.com
07802-791-232
A copy of your responses will be emailed to the address you provided.
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