Hornsey Trampoline Club Autumn Term - drop ins
Welcome to Hornsey Trampoline Club. Please complete all fields required below. You will need to complete one per child attending. This form is for DROP_IN ONLY (12 weeks). For term-time booking, please visit: https://pci.jotform.com/form/262376968278376
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
My child would like:
*
1 class pass
4 class pass
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
Payment Amount
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( X )
GBP
Description
Dates my child would like to attend:
17 September
24 September
8 October
15 October
Payment Methods
Choose from one of the PayPal options to
make your payment.
Buy with
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Should be Empty: