Easter Holiday Clinic Gymnastics Form
Please fill out this form to register for the Easter holiday gymnastics clinic.
How many children
1
2
3
4
More (if more please state number/name/age in extra notes)
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the participant/parent have any medical conditions or allergies?
Previous Gymnastics Experience
*
None
Beginner
Intermediate
Advanced
Session Preference
Tuesday 7/4/26 @ 2:30-4:00 pm Shepparton
Thursday 16/4/26 @ 2:30-4:00 pm Kyabram
Extra Notes
Parent/Guardian Signature
*
Register
Register
Should be Empty: