PGA Application Form 2025

PEACOCK GYMNASTICS ACADEMY

Enrolment Form
Thank you for signing up for Peacock Gymnastics! Please complete this form to request a place in the class or be added to the waiting list.

MUST BE RECEIVED BY PGA TO BOOK TRIAL OR BE ADDED TO WAITLIST.
Gymnast Details
Gymnast Name*

First NameLast Name
DOB*
Age*
Gender*

MaleFemale
School Attending*
Preferred Class*
Gymnast Background (has the gymnast had any experience in gymnastics)*

YesNo
Please explain clubs, awards etc.
Does your gymnast have any sibling(s) attending PGA currently?*

YesNo
Name of Sibling/s
Photo Consent - Instagram, Website, etc*

YesNo
Parent/Guardian Contact Info

No.1
Name*
Relationship to Gymnast*
Phone Number*
Email Address*
example@example.com
Address*
Postcode*
Parent/Guardian Contact Info

No.2 (Optional)
Name
Relationship to Gymnast
Phone Number
Email Address
example@example.com
Address
Postcode
Medical Info
Does your gymnast have any medical conditions, allergies or learning disabilities?*

YesNo
If yes, please fill in section below
If any of these medical conditions, allergies or learning disabilities require specialist requirements please list below
Additional Info
Add any other information about your enquiry...
How did you hear about us?
I have read and understand Peacock Gymnastics Academy Code of Conduct and Enrolment & Payment Policy*

Yes
Please print and sign your name below if the above details are correct.
Date*

MonthDayYear
Date
Print Name*
Signature*

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Gymnast Details