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- Date of Birth*
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- Gender*
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- Does your gymnast have any medical conditions, allergies, injuries, disabilities, learning needs or additional needs that we should be aware of?*
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- Photography & Video Consent: From time to time, photographs and videos may be taken during classes, events, competitions and other activities at Peacock Gymnastics Academy. These may be used to celebrate our gymnasts and promote the Academy through our website, social media channels, printed marketing materials and other Peacock Gymnastics Academy communications. Please select your preference below:
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- Has your gymnast attended Peacock Gymnastics Academy before?*
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- Preferred Trial Date*
- Alternative Trial Date
- If the trial is successful, when would you ideally like to start regular classes?
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- Does the gymnast have a sibling currently attending PGA?*
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- Acknowledgement of application and trial-request stage*
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- Date*
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- Should be Empty: