Aeroschools Workshop Registration form 2019

Name*

First NameLast Name

Parent / Guardian Name (if under 18)

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

example@example.com

Name of Coach and School

Level / Division

eg: level 3 team

Name of team members

eg: bob, sue, john, sally

Workshops you will be attending:

Workshop 1 18th August - Athlete (enter EARLY as coupon code by 09/08)$30.00AUD

Workshop 2 25th August - Athlete (enter EARLY as coupon code by 09/08)$30.00AUD

Workshop 1 18th August - Coach (enter EARLY as coupon code by 09/08)$20.00AUD

Workshop 2 25th August - Coach (enter EARLY as coupon code by 09/08)$20.00AUD

Enter coupon

Total $0.00AUD

An invoice will be sent as confirmation of your place in the workshop.

Full payment must be received 7 days prior to the commencement of the workshop.

AGS will always notify the parent / guardian of each gymnast in the event of any emergency.

Are there any medical conditions or physical impairments that may have a bearing on your child's ability, safety or behaviour in class that the club should know to better support you/or your child?

YESNO

If YES, please specify:

Does the gymnast suffer from any allergies?

YESNO

If YES, please specify:

Has the gymnast had any major surgery or have any medical or injury conditions?

YESNO

If YES, please specify:

If you selected Yes for any of the questions above, please provide details of an Action Plan for management/treatment (such as an asthma or anaphylactic plan) Please email an attachment if necessary.

Photography consent and release form for children (Under 18) 2019

I, the parent and/or official guardian of (insert child’s/children’s name(s)) , hereby grant permission to Advantage Gym Sports staff members, to take and use photographs and/or digital images of my child for use in:

Social media releases, media articles - including newspapers, radio, television - printed publications and/or educational materials.
Electronic publications and communications such as the club’s Facebook site, website and Instagram account.

I agree the my child’s name and identity may be revealed in descriptive text or commentary in connection with the image(s).

I authorise the use of these images without compensation to me. All negative, prints, digital reproductions and shall be the property of Advantage Gym Sports.

Photography consent:*

I agreeI do not agree

Advantage Gym Sports

If you have any questions please contact:

Kristie Loidl

0413 577 583

advantagegymsports@gmail.com

Aeroschools Workshop Registration Form 2019