Registration & Participation form Child's details Required field First name Last name Date of birth Addresses Address Postcode Email address Main carer Name Relationship Telephone no Emergency contact Name Relationship Telephone no Class(es) requested Limited spaces for each class. Places must be prebooked and full payment received before places are confirmed. Classes THURSDAY 4.30pm 4-6 years THURSDAY 5.30pm 7-8 years THURSDAY 6.30pm 9-11 years THURSDAY 7.30pm 11 – 16 years THURSDAY 8.30pm Adults 16 years + FRIDAY 4.00pm 4-6 years FRIDAY 5.00pm 7-8 years FRIDAY 6.00pm 9-11 years SATURDAY 9.00am 4-6 years SATURDAY 9.00am 7 years + SATURDAY 10am – 12pm competition group by invitation Acro - by invitation Health & Medical questions Please tick Yes/No to the following questions. If you have answered * please provide full details in the box below: Is your child physically fit, healthy and able to participate in gymnastics? Yes No* Does your child have any medical conditions or allergies? Yes* No Does your child require medication? Yes* No Has your child had any major operations, serious accidents or broken bones? Yes* No Are there any reasons which may affect your child’s safe participation in the class? Yes* No Medical answers Photography & filming Occasionally we may take photographs or videos during class, displays or competitions for promotional and training purposes. If you do NOT consent to photography please tick this box Privacy policy I consent to the sharing and storing of my data with UK Gymnastics Ltd, British Gymnastics Ltd, Yorkshire Gymnastics Association, Insurance Intermediaries and Underwriters to enable membership, insurance cover and competition entries to be arranged. I also consent to the sharing of my data with the NHS Covid-19 Track & Trace system if required. We take your privacy very seriously and are committed to complying with data protection law and General Data Protection Regulation. Please refer to our Privacy Policy which is on our website. Please note if you do not consent you will not be eligible to hold membership at our club. If you do NOT consent to the privacy policy please tick this box Covid-19 safety agreement We follow the Government and gymnastics governing body health and safety guidelines to minimise the risk of Covid-19 infection. Parents, carers and gymnasts must also abide by the guidelines set out on our notice board and on our website to help prevent the spread of the virus. Leaving the gym In the interests of safety we do not allow any child under the age of 11 to leave the gym on their own. Older children may leave without a parent/carer only if we have your permission to do so. I give permission for my child who is over 11 years old to leave the gym unaccompanied. I understand that Olicana Gymnastics do not have any responsibility once my child has left the gym doors. Please tick this box if you give permission for your child to leave unaccompanied Participation agreement Gymnastics activities have an inherent risk of injury and although the club will endeavour to minimise risks and adopt safe practices, accidents may still happen. Club members must be physically fit and abide by the safety rules and codes of conduct at all times. Parents/carers and spectators must also abide by the safety rules and codes of conduct found on the club notice board and website. Signature Signed by (name) Date signed reset submit Thank you for completing the registration form. We will reply to you shortly. Please turn on javascript to submit your data. Thank you! Powered by BreezingForms