Birthday Party Booking Enquiry

Host Information

Child's Name*

First NameLast Name

Birth Date*

DayMonthYear

Age Celebrating*

Gender*

MaleFemale

Parent/Guardian Information

Name*

First NameLast Name

Contact Number*

E-mail Address*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Second Emergency Contact Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Contact Number*

Birthday Party Information

Desired Party Date*

Number of participants over 3 (including the host)*

Full names of participating guests*

Does the host or participating guests have any allergies, chronic illness, injuries or medical conditions? If yes, please describe.*

Party Booking- Conditions of Hire

1. Parent or guardian must take an active role in supervising children at the party. Duty of care remains the responsibility of the party host.

2. Food is not supplied by Victoria Park Gymnastics & Trampoline Club however, we do offer the use of the kitchen facilities.

3. No food or drinks are allowed in the gymnasium area. Food and Drinks are to be consumed in the party area outside. Tables and chairs are provided.

4. Appropriate active clothing should be worn at all times, preferably shorts/tights and t-shirts/singlets. Participants are required to wear clean socks, have tied back and NO excessive dangling jewellery.

5. Unacceptable behaviour will not be tolerated by the coaches who reserve the right to ask a child to sit out if their behaviour is dangerous or rude.

6. Party time is 2 hours only, please contact the office directly to request longer party times. Please advise parents to collect their children on time, allowing for goodbyes etc. The venue will need to be cleaned and tidied after the party has finished.

7. No Adults are allowed on the equipment. Only children who are listed as participants of the party are permitted on the equipment.

8. A non-refundable $50 deposit is required within 7 days of making the booking. The full payment is due a week prior to the party together with final numbers.

9. Please respect the property of Victoria Park. Any damages occurred to the property will be charged to the host of the party.

Informed Consent and Acknowledgement

I hereby give my approval for my child and consenting guest participant's participation in any and all activities prepared by Victoria Park Gymnastics & Trampoline Club (VPGTC) during the selected Birthday Party. In exchange for the acceptance of the participating guest's candidacy by VPGTC, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless VPGTC and all its respective officers, agents, and representatives from any and all liability for injuries to participating guests arising out of traveling to, participating in, or returning from selected Birthday Party session.

In case of injury to participating guests, I hereby waive all claims against VPGTC including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including gymnastics and trampolining. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorisation

As Parent and/or Guardian of the host and participating guests, I hereby authorise the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is also granted to VPGTC and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorised on the dates and/or duration of the booked Birthday Party.

This release is authorised and executed of my own free will, with the sole purpose of authorising medical treatment under emergency circumstances, for the protection of life and limb of the host and participating guests, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Birthday Party Booking Form