Sheffield workshop agreement and consent form

Sheffield workshop agreement and consent form

This form MUST be filled in prior to attending.
Child’s Name*

First NameLast Name
Date Of Birth*

DayMonthYear
Date
Age*
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Email*

Confirmation Emailexample@example.com
Mobile Number*
Emergency Contact Number*
Any medical conditions*
If none please enter “None”
My child is physically fit and healthy to participate*

YesNo
My child has the following disability:*
If none please enter “None”
Gymnastics activities have an inherent risk of injury and although the club will endeavour to minimise any risk, accidents may still happen. It is incumbent on all members to abide by the safety rules and code of conduct at all tIles. The participants/ parents are required to ensure that the member is physically fit and healthy to participate, particularly after illness or injury.
Please tick*

I consent to Sheffield Workshop using my/ my child’s image/ video and words for promotion of the club.I consent for my/ my child’s image/ video and words to be shared with British Gymnastics for the purposes of promoting the sport.I consent to allowing photography and videography at the annual Christmas DisplayI consent for my/ my child’s image/ video and words to be shared with Sheffield Workshop for website, social media pages and notice boards for the achievements and progressions (badges passed, competition results etc)I consent to Sheffield Workshop videoing me/ my child for training purposesI consent to Sheffield Workshop keeping a record of my/ my child’s sizing of garments purchased with the club (leotards, handguards, tracksuits etc.)I consent to Sheffield Workshop to keep attendance records and achievements of my child for his/ her progression. (badge sheets, records of competition results and levels)I consent to Sheffield Workshop to retain emergency contact no’s to notify me of any accidents or any changes to my/ my child’s class.I consent to Sheffield Workshop first aid trained staff to administrate any emergency medical treatment if Sheffield Workshop are unable to contact me.I consent to Sheffield Workshop sharing any information regarding any debts owed to the club with the new club, if transferring to a new club.
In joining Sheffield Workshop Gymnastics I agree to pay the single rate fee for the first session and then a full payment of the monthly amount, on time, on the first week of every month.*

I agree
In joining Sheffield Workshop Gymnastics I agree to pay the £10 annual membership fee on the first class attended (This fee is reduced to £5 if joining in July or August) and every September when annual payment is due.*

I agree
In signing this panticipation agreement and consent form, I declare that I understand the element of risk and I am willing to participate and will adhere to the safety rules and code of conduct.
NAME OF PARENT/ GUARDIAN*

First NameLast Name
Date*

DayMonthYear
Date
SIGNED (Parent)*

Clear
SIGNED (Gymnast if 12 years or over)

Clear
Please verify that you are human*
Should be Empty: