Course Request Form

Preschool Gymnastics Course

Course Request Form

What you will need to complete this form:
- Confirmed learners names and membership numbers
- Venue name and address you can provide, including a copy of the venues risk assessment, health & safety policy, fire risk assessment, accessability policy and equipment maintenance records
- Potential dates for your course and assessment if required
- That you have the required equipment to run the course.
If you have any questions please email coacheducation@scottishgymnastics.org.

Name of person completing this form
Contact Email Address
A confirmation email will be sent to this email
Club/ Local Authority
Are you a member or partner of Scottish Gymnastics?
Venue

Please provide information below on your venue
Please confirm the name of the venue you would like to host the course in:
Venue address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
For requested course it is expected that the club/local authority provide the venue, if there will be a cost to Scottish Gymnastics please let us know below:
Please note where venue cost is covered there may be a discount to learners from the club attending. Dependent upon no. of learners
Equipment

There is required equipment you need to deliver this course. Please complete the below for us to see if your venue can host this course:

Required equipment

Rows	Yes/No	Comments
Classroom with desks & chairs, and white wall to project on to.
10m x 10m matted floor area with 25mm depth
vaulting apparatus (platform section box or equivalent)
springboards (junior desirable)
music/audio facilities
safety mats (four minimum)
hoops, balls, bean bags (12 minimum for each)
mini bouncer/trampette
bench (two minimum)

The following are not essential venue requirements butare useful for tutors to know what is available at the venue. Please use comments section to add detail.

Rows	Yes/No	Comments
floor beam
low bar or junior bars
floor bar
hand equipment – ribbon, feathers, scarves, tap sticks (12 minimum of each)
parachute
small apparatus (hop scotch, ladder, wobble board, tunnel, spots)
soft play shapes (wedges, steps, cubes etc.)
trampoline

Please upload any images of your gym or equipment that may be useful for our tutor.

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Please include a copy of your venues risk assessment

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Please include a copy of your venues fire risk assessment

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Please include a copy of your venues health & safety Policy

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Please include a copy of your venues accessibility policy

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Please include a copy of your equipment maintenance records/inspection certificates

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Date & Time
Please let us know dates that suit your learners and the venue:
Learners

The minimum number of learners required to request a Preschool course is 8.
We have a minimum of 8 learners required to run the course
All learners meet the requirements of the course (have a PVG through Scottish Gymnastics and have a Assistant Foundation Coach qualification (or equivalent or above)
How many learners do you have:
Please list the names and membership/registration numbers of all learners you have confirmed for the course who meet the requirements:
Example: Craig Wood - 358651
Gymnasts

Gymnast and a chaperone are required each day of the course. Day 1: 6 to 8 gymnasts from 1.45pm to 2.45pm and 3.30pm to 4.30pm. Day 2: 12 to 16 gymnasts from 1.15pm to 2pm and 2.30pm to 3.25pm. The chaperone needs to be a current member, have a PVG disclosure and safeguarding training. This should be someone who already has a relationship with the gymnasts.
We will provide gymnasts and a chaperone at the times required
Tutor

Have you spoken to a local tutor about delivering your course already, if so please give details below. If you have not, if the course is approved we will contact our workforce to find out if anyone would be available to deliver the course on the dates you have given.
Tutor information:
Should be Empty:

Venue

Equipment

Date & Time

Gymnasts