Trial Class Application Form
Kiroi Academy
Gymnast full name:
*
Gymnast First Name
Gymnast Last Name
Mobile Number:
*
Mobile Number
Format: 0000 000 000.
Date of birth:
*
-
Day
-
Month
Year
Address:
*
Street Number and Name
Suburb:
*
Postcode:
*
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Parent/Guardian Details
Kiroi Academy
PARENT / GUARDIAN
Parent/Guardian 1:
*
First Name
Last Name
Mobile Number:
*
Mobile Number
Format: 0000 000 000.
Relationship with gymnast:
*
Relationship
Parent/Guardian 1 Email:
*
example@example.com
Parent/Guardian 1 Residential Address:
Same as gymnast
Address:
*
Street Number and Name
Suburb:
*
Postcode:
*
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Gymnast Background
Kiroi Academy
Do you have any previous gymnastics or dance experience?
*
Yes, Rhythmic Gymnastics
Yes, other accredited Gymnastics Sport (Artistic, Acrobatics, Aerobics)
Yes, Calisthenics experience
Yes, Ballet and/or other Dance programs
None
Other
Please provide further details on your previous experience in gymnastics or dance.
*
Expand on your previous experience
What are your preferred training hours per week?
*
1-2 hours per week
2-4 hours per week
4-6 hours per week
As many as the Level requires
What are you looking for from a Gymnastics program (select up to 3)?
*
Health / fitness / general well-being
Fun / entertainment / social interaction
Structure / discipline / routine
Challenge / intensity / high performance
Sense of achievement / competitions (2-4 events per year)
What days are you available for training?
*
Monday - Afternoon
Tuesday - Afternoon
Wednesday - Afternoon
Thursday - Afternoon
Friday - Afternoon
Saturday - Morning
Saturday - Afternoon
Sunday - Morning
How did you hear about Kiroi Academy?
*
Please Select
Google/Internet search
Instagram/Facebook search
Gymnastics Australia/Victoria website search
Know someone who is/was at Kiroi Academy
School friend/parent suggested
Attended Holiday Program
Word of mouth
OTHER
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