Request to Join Bury Spectrum Gymnastics Club

Child's Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender*

MaleFemalePrefer not to say
Address*

Street Address

Street Address Line 2

TownCounty

Post Code
Primary E-Mail (Note: this is the email account that will receive spaces email)*
example@example.com
Parent/Guardian*

First NameLast Name
Contact number of Parent/Guardian*

Area CodePhone Number
Class of interest*
Day(s)/Time*
Has your child been a member of Bury Spectrum before?
Has your child ever been a member of another gym club? if yes, where and how long for?
Has you child been to a school gym club?
Date*

DayMonthYear
Parent's eSignature*
Should be Empty: