Registration Form

Tees Valley Gymnastics Club

Units 9-12 Whitestone Business Park

Middlesbrough

TS4 2ED

(07834)899719

teesvalleygc@gmail.com
Registration form
Full Name of Gymnast*

First NameLast Name
Date of Birth *

DayMonthYear
Address*

Street Address

Street Address Line 2

CityPostal / Zip Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Emergency contact 1*

Full name and Relationship to GymnastPhone number
Emergency contact 2*

Full name and Relationship to GymnastPhone number
Does your gymnast have any medical/welfare/safeguarding concerns? (Including allergies)*
Does the gymnast have BG Insurance?*

YESNOAPPLIED
Can your child have their picture taken and published on social media platforms?*

YESNO
I understand that my fees are paid by a monthly direct debit through ‘London and Zurich’*

I agree
I understand that I’m paying for my child(ren’s) place in a class, NOT the amount of classes attended. You will pay for your sessions missed due to illness, holidays, centre closures etc.*

I agree
I understand that my direct debit is essential to the club and as a not-for profit community endeavour, I will not cancel my direct debit without just cause, creating additional administrative problems. Your child’s space will be at risk of being immediately cancelled and given to a child on the waiting list. Please inform the Club if you wish to cancel your membership.*

I agree
I understand that I will pay an initial £25 joining fee and £25 annually (every september) as a membership fee to aid our not for profit endeavor.*

I agree

Please select the classes that you would like your child(ren’s) to attend:*
Would you like to be a part of our fundraising committee?

YESNO
Do you have anyone in your family who we could form a business link with? E.g. Accountants, plumbers, electricians etc.
Name on Account:*
Sort Code:*
Account Number*
Each class is £6 each, we offer a 10% sibling discount. Please select your total monthly fee in accordance to the classes you have selected.*

£24£48£60£70
Do you have an additional sibling that you are signing up? Please copy their name below so we can link the accounts and offer 10% sibling discount.
Thank you for choosing Tees Valley Gymnastics Club.
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Registration form