Gymnast Profile
Please complete this form so we can get to know your child, and help them make the most of their classes.
Gymnast's Name
First Name
Last Name
Gymnast's Date of Birth
-
Month
-
Day
Year
Date
Parent/Guardian's Name
First Name
Last Name
Parent/Guardian's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Email
example@example.com
Emergency Contact (must not be the same contact as parent/guardian)
First Name
Last Name
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Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is the condition/diagnosis?
ASD
ADHD
Developmental delay
Vision impairment
Hearing impairment
Down's Syndrome
Prefer not to say
No diagnosis
Testing is underway/planned
Other
Does the gymnast have an aide/support worker for school?
Yes
No
Does the gymnast require any medication?
Does the gymnast have any allergies? If so what are they allergic to?
Please upload medical management plans (eg Asthma Plan, Anaphylaxis Management Plan) here
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What specific support or accommodations does the gymnast require to participate fully and safely in gymnastics?
Are there any sensory considerations (e.g., sensitivity to loud noises, bright lights) that the instructors should be aware of?
Does the gymnast use alternative methods of communication?
Yes
No
If Yes, please describe their communication method
Does the gymnast need any visual aids or additional communication support?
What way does the gymnast best learn?
Are there any specific behavioral triggers or challenges the instructors should be aware of?
What strategies have been successful in managing and supporting the child's behavior?
Does the student have a Behaviour Support Plan you would like to share with us?
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Does the child have preferences for class placement (age group, private lesson, skill level, mixed ability, etc.)?
What are the gymnast’s / family’s key goals?
Has the child participated in gymnastics or any other physical activities before? If yes, provide details about their previous gymnastics experience, if any.
Is there any other information about the gymnast that their coach should be made aware of?
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