Artistry AGG Gymnastics Enrolment Form

Artistry AGG - Gymnast Enrolment Form

Please Complete and submit the form below to enrol in training at Artistry AGG.
Gymnasts Full Name

First NameLast Name
Gender*

FemaleMale
Gymnasts Date Of Birth

MonthDayYear
Date
Gymnasts Age @ 1st Jan this year
Gymnasts Kinder/Primary/Secondary School
Gymnasts School Year in 2021*
Parent/Guardian Details
Mother/Guardians Full Name:*

First NameLast Name
Father/Guardians Full Name

First NameLast Name
Marital Status & Relevant Court Orders
Postal/Home Address*

Street Address

Street Address Line 2

CityState

Post Code
Mobile Number*
E-mail*
example@example.com
Emergency Contact Full Name

First NameLast Name
Emergency Contact Mobile Number
Please enter a valid phone number.
Medical
Medical History - Does your child suffer from any of the following?

DiabetesAsthmaAllergiesEpilepsyAutismAcute InjuriesPhysical ImpairmentsNone
Please Provide Further Information & Medical Plan
Current Doctor's Name & Clinic
Doctor's Phone Number
Please enter a valid phone number.
Medicare Card Number
Private Health Insurer
Private Health Insurance Policy Number
Training
Has your child done Gymnastics Before?*

YesNo
Previous Club Name & Current Level/Class & Year attended
Gymnasts Relevant Previous Training?

Classical BalletJazz BalletTap DanceContemporary DanceAcrobaticsRhythmic GymnasticsCalesthenicsArtistic GymnasticsAerobic GymnasticsMusical TheatreFitness ClassesOther Sports...
Gymnasts Attendance at Training Days in 2021 (See Timetable on website)

MondayFridaySaturdaySundayPublic HolidaysHoliday Programs
Intended Training Intensity

Recreational (No Competitions)Competitive (Local/Internal)Competitive (National/International)Private LessonsTeam/Group Training Only
Number of Weekly Training Hours (See Timetable & Fee Information on website)
How did you hear about us?*
I,   First Name   Last Name   give permission for my child   First Name   Last Name   to attend Artistry AGG. By signing below, I accept that all care is taken by the qualified teachers/coaches, however students/gymnasts participate at their own risk, and neither the teachers/coaches nor Artistry AGG can be held liable for any injuries sustained before, during or following classes. I understand that by signing below, I will commit to paying the fees as outlined in the Fees Policy. I also agree to abide by the rules of the Club.
Print Name:   First Name   Last Name   Signature:   Signature
Date:   Date
Any Additional Notes to Admin or the Head Coach:
Should be Empty:

Artistry AGG - Gymnast Enrolment Form

Parent/Guardian Details

Medical

Training