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1
What is your child's first name?
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2
What is {StudentFirstName}'s last name?
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3
What is {StudentFirstName}'s gender?
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Female
Male
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4
How old is {StudentFirstName}?
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1 years old
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3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
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1 years old
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3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old
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5
What is {StudentFirstName}'s date of birth?
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Date
Day
Month
Year
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6
Does {StudentFirstName} have a sibling who currently takes classes at Benchmark Gymnastics?
*
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If the answer to this is 'Yes' you will be eligible for a 10% discount on class fees.
YES
NO
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7
What is {StudentFirstName}'s sibling's name?
First Name
Last Name
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8
Now we'll need {StudentFirstName}'s address.
*
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House/Flat number and road name
Address Line 2
Town
City
Postcode
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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9
Medical information
*
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We like to keep up to speed on anything that may prevent {StudentFirstName} from getting the most out of classes at Benchmark. With that in mind are there any medical or other conditions that we need to be aware of?
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NO
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10
Please provide as much detail as possible on any medical or other conditions.
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11
Does {StudentFirstName} have any previous gymnastics experience?
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YES
NO
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12
Please provide as much detail as possible on any previous experience.
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13
What's your name?
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First Name
Last Name
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14
Which of the roles below best describe your relationship with {StudentFirstName}?
*
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Mum
Dad
Mother
Father
Aunt
Uncle
Brother
Sister
Grandma
Grandad
Grandmother
Grandfather
Cousin
Godmother
Godfather
Carer
Guardian
Neighbour
Friend
Mum
Dad
Mother
Father
Aunt
Uncle
Brother
Sister
Grandma
Grandad
Grandmother
Grandfather
Cousin
Godmother
Godfather
Carer
Guardian
Neighbour
Friend
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15
What's the best email address for you?
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example@example.com
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16
What is the best phone number to reach you on?
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17
What is this person's name?
*
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Remember this person has to be someone other than you.
First Name
Last Name
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18
Which of the roles below best describes their relationship with {StudentFirstName}?
*
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Mum
Dad
Mother
Father
Aunt
Uncle
Brother
Sister
Grandma
Grandad
Grandmother
Grandfather
Cousin
Godmother
Godfather
Carer
Guardian
Neighbour
Friend
Mum
Dad
Mother
Father
Aunt
Uncle
Brother
Sister
Grandma
Grandad
Grandmother
Grandfather
Cousin
Godmother
Godfather
Carer
Guardian
Neighbour
Friend
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19
What is the best phone number to reach them on?
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20
If you would like to make any additional comments you can make them here.
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21
To take classes at Benchmark Gymnastics you will need an active British Gymnastics Annual Membership. This fee for the 2022/2023 Academic Year is £20 and must be paid directly to British Gymnastics. This fee is normally due on joining and then again in October of every year. Are you happy to pay this fee?
*
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YES
NO
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22
We use email and text to communicate with parents (so 21st Century we know!) Are you happy for us to do this?
*
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YES
NO
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23
As part of the enrolment process, we ask parents/carers to read a few documents, i.e.
How Payment Works at Benchmark, Terms of Leaving
,
Code of Conduct,
to help them understand how things work at Benchmark. Have you read and understood the provided documents and do you agree to abide by them?
*
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YES
NO
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24
At Benchmark Gymnastics we charge a £30.50 Annual Benchmark Membership fee. Please note: this fee is different to the Annual British Gymnastics fee. This fee will be due as soon as we have a confirmed restart date for classes. Once collected this fee is
NON-REFUNDABLE
. Are you happy for us to charge this fee?
*
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YES
NO
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25
As part of our achievements programme, we aim to badge test at least 3 times per academic year, once in each term (Autumn Term, Spring Term, and Summer Term). What would you like us to do when {StudentFirstName} passes a badge?
*
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I am happy for you let me know by email that my child has passed a badge and then automatically charge me the badge and certificate fee of £5 plus transaction fees
I would like to opt out of purchasing badges and certificates
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26
We sometimes take photos and film sessions/events for use across our social media platforms (places like Twitter, Facebook, Instagram, etc.) and in promotional material. Are you happy for {StudentFirstName} to be included in these photos/videos?
*
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YES
NO
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27
CCTV cameras are installed at our sites for security and safeguarding purposes. Are you happy for {StudentFirstName} to attend classes knowing this?
*
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YES
NO
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