Holiday Workshop Registration

Holiday Workshop Registration Form

Please do not complete this form until you have booked a space & paid with the office first

Child's Details

Full Name Of Child

Age

D.O.B.

Address

Is your child a member of the academy? If so please specify

Beckenham
Chislehurst
School Club

Emergency Contact No (1)

Emergency Contact No (2)

Email Address

Does the child have any medical conditions or allergies?

Yes
No

If you answered 'yes' please specify

Does the child have an impairment/disability?

Yes
No

If you answered 'yes' please specify

Is there any other information that you think JGA should know about?

How did you hear about us?

Agreement

Full Name of Parent/Guardian:

Date

Participation

I herby declare that I have disclosed all information that may affect my child’s participation within the sport, and agree that my child is physically fit and healthy to participate at J’amies Gymnastics Academy. I accept that accidents can happen, however J’amies Gymnastics Academy will do their upmost to minimize the risk of injury by having the necessary health and safety procedures in place.

Acknowledgement

I can confirm that i fully understand and agree to the information contained in J'amies policies and procedures on holiday workshops.

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