Hornsey Trampoline Club Autumn Term
Welcome to Hornsey Trampoline Club. Please complete all fields required below. You will need to complete one per child attending. This form is for TERM TIME ONLY (12 weeks). For adult pay as you go, please submit the adult sign-up form: https://pci.jotform.com/form/241865733582364
Name of gymnast
*
First Name
Last Name
Is the gymnast a child or an adult?
*
Please Select
Child
Adult (18+)
Parent name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
Format: (000) 000-0000.
Gymnast date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Permission for photographs
*
Please Select
Yes
No
Permission to arrive/leave unaccompanied
*
Please Select
Yes
No
Please detail any medical conditions and/or medications we should be aware of
Tell us which class(es) you/your child would like to attend
*
Thursday 5.30pm - 6.45 pm (under 18) (1 place remaining)
Tuesday 6.15 pm - 7.30 pm (under 18) (1 place remaining)
The gymnast attends Hornsey School for Girls
*
Please Select
Yes
No
Class discount applicable?
Please Select
BG helper
Sibling
Low income
Two session discount
I consent to my data being collected in accordance with Hornsey Trampoline Club privacy policy at: https://drive.google.com/file/d/11bdob70n7lXhnRyQ0TzwVgltl_-Lij2I/view?usp=sharing
Please verify that you are human
*
Calculation
Would you like a trial session before committing?
Please Select
Yes
No
We reserve the right not to offer a space following a trial should there be high demand for classes and/or we don't feel that we are able to accommodate the needs of the gymnast.
Payment Amount
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GBP
Description
Payment Methods
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