Extenuating Circumstances 2023

Application for Extenuating Circumstances

Please read and complete all fields within 15 working days of the final day of the activity. You must read the guidance notes prior to completion and submission. The guidance notes can be found on the Scottish Gymnastics website. All sections must be completed in full to ensure appropriate consideration.
Full Name of Applicant*
Scottish Gymnastics membership number*
Club*
E-mail*
What activity are/were you unable to attend (e.g. course/assessment)
Please include specific details such as course title
Date of Activity

DayMonth Year

Details of the nature of the circumstances

Extenuating circumstances are serious, unexpected or unavoidable. Examples of these may be serious illness or accident, death or serious illness of a close relative or friend.

Some examples that are NOT normally valid as a reason for exceptional circumstances are:
- Minor medical conditions such as: colds, headaches, sleeping problems
- Social obligations and similar avoidable commitments such as holidays, weddings, parties and sporting fixtures.
Indicate below the nature of the circumstances:*

a serious personal illnessthe death or serious illness of a close family member or friendother sudden or unforeseen circumstances beyond reasonable control
Please provide details of the circumstances below and demonstrate how you believe the circumstances affected your attendance*
Details of should be brief but include all relevant facts and must be supported by evidence from an independent source, e.g. a medical practitioner.
Please submit documentary evidence to support your application (e.g. medical certificate)

Browse Files
All supporting documentation must be dated and relate specifically to the duration of the activity claimed on the form. Evidence of a non-medical nature could include a statement from a person who can verify your circumstances from a position of authority and whose evidence is impartial and objective. Cancelof
I declare that the information on this form is correct and complete to the best of my knowledge and I authorise Scottish Gymnastics to, if required, make enquiries to verify the accuracy of the information I have supplied.
Signature*

Clear
Date*

DayMonth Year
Should be Empty:

Application for Extenuating Circumstances