Mackay Gymnastics Inc Membership Form 2025

Mackay Gymnastics Inc

Membership Form 2025
Gymnast Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender*
Address*

Street Address

Street Address Line 2

CityState

Postcode
School Attending
First Contact*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
E-mail - primary email communication*
Occupation
Relationship *
Second Contact

First NameLast Name
Mobile Number
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
E-mail - enter 2nd email address if you wish both contacts to receive email communications
example@example.com
Occupation
Relationship
How did you first find us or hear about us?

Drive by/signInstagramFacebookWebsiteReferral from friends or familyDisco/eventOther
How can you help Mackay Gymnastics Inc?

CommitteeCanteen at events/competitionsMaintenanceEvents assistanceSponsorshipAdmin helpOther
Please indicate class name and your preferred day to book in (based on the class days/times sent to you):
I would like to:

Enrol in the classAttend a free trial first
Medical & other information:
Enter here any medical or other information we need to know in order to best look after and teach your child. Any potentially life threatening illnesses (eg. Asthma, Anaphylaxis, Epilepsy, Diabetes etc) require a seperate action plan. Forms are available from admin.
Asthma PlanAllergy PlanOther Plan
Membership Agreement:
1. I consent to participating in Mackay Gymnastics Inc activities. I understand that gymnastics, like all sports and activities carries an inherent risk of injury. I understand that every endeavour will be made to contact me prior to any medical attention being given. Where is it not practical to contact me, I authorise a representative of Mackay Gymnastics Inc to seek medical intervention (including treatment, emergency transport, hospitalisation, anaesthesia & medication) in the event of any accident, mishap or illness whenever my child is in the care of the club.

I understand that these services will be sought at my expense and as deemed necessary and/or appropriate by a representative of Mackay Gymnastics Inc.

2. I acknowledge that I must give two weeks notice if I wish to terminate any class enrolments, and that fees for those two weeks will be charged. Event, Competition, Registration and Membership fees are non refundable.

3. I understand that representative of Mackay Gymnastics Inc may from time to time take video or still images of the gymnasts for training, educational, administrative or promotional purposes. I consent to the use of these images, on the understanding that images used outside of the club premises or in any public media or websites will require my approval.

4. I have read and understood the 2025 full terms and conditions and agree to abide by the policies and rules contained or reffered to therein.
I have read, understood, and accept the agreement above.
Privacy Policy:
Mackay Gymnastics Inc is committed to protecting your privacy. We will collect, use, disclose and hold personal information in accordance with the Privacy Act 1998. For futher details or a copy of our full privacy statements, please refer to the club's website www.mackaygymnastics.org.au or contact our office for a copy. Please note this information will be made available to club staff members in full.
I have read, understood, and accept the privacy policy above.
Signed (parent/guardian if U18)

Clear
Date

DayMonthYear
Date
Should be Empty:

Mackay Gymnastics Inc

Medical & other information:

Membership Agreement:

Privacy Policy: