Your Name (required)
Your Email (required)
Subject
Your Message
PERSONAL AND CONTACT DETAILS
The personal information on this form will be held securely and will only be shared with teachers or others who need this information in order to meet your specific needs.
Participant name
Date of birth Gender Parent/guardian's name Address
I would like to book the following class/classes
Please give details of any medical condition or disability/special/additional needs that the club should be aware of *: Please give details of any allergies:
Childcare Vouchers
Ofsted number; EY449419 Ofsted registered Address St Johns Church Mattock Lane Ealing London W13 9LA
CONSENTS
Participation
I consent to taking part in gymnastics/dance/ activity classes and understand the risks associated with this type physical exercise.
I confirm that I am aware of, the club's code of conduct and anti-bullying policy and understand and agree to my responsibilities in connection with these policies. This is available to view on our website.
Medical I confirm that to the best of my knowledge, I am physically fit and healthy and I have declared any medical information that Twisters needs to consider prior to allowing me to participate in Twisters activities.
I consent to emergency medical treatment or first aid, which, in the opinion of a qualified medical practitioner or first aider is considered necessary. I also understand that should such a situation arise, all reasonable steps will be taken to contact the parent or an alternative emergency contact.
I confirm that to the best of my knowledge, all information provided on this form is accurate, and that I will undertake to advise Twisters of any changes to this information.
Photography (Optional) YesNoI consent to being photographed/ video footage whilst participating in club activities/events and for these images to be used to promote the club in newspaper articles and other media such as the club websites, information leaflets, electronic newsletters and presentations. I understand that I can withdraw consent at any point. Please note that we will be unable to remove images that have already been used in publications or publicity material.
Privacy I consent to Twisters Gymnastics contacting me with relevant information about Twisters Gymnastics. We respect your privacy and your data will never be shared and we will only send you relevant newsletters and information. I have read and accepted Twisters' policies
Signed
By using this form you agree with the storage and handling of your data by this website.
Parent/guardian's name
Address
I would like to go on the waiting list for the following class/classes
MEDICAL/HEALTH INFORMATION
Contact number (mobile)
Privacy I consent to Twisters contacting me with relevant information about Twisters. We respect your privacy and your data will never be shared and we will only send you relevant newsletters and information. I have read and accepted Twisters' policies
