Male Female
A disability/Chronic Illness
Allergy
Asthma
ADD/ADHD
Diabetes
Epilepsy
Skin Condition
Other

*Please supply Asthma Action Plan with registration ,

*Please supply ASCIA Action Plan with registration Links to Action plans can be found on www.acrogym.com.au





I understand that Acrogym will take all reasonable care to ensure the well being of my child and I agree to my child attending Acrogym lessons. I understand assumption of risk and understand that Gymnastics is an aerial sport and injuries and accidents can occur at no fault to the staff or coaches. I also understand that in order to provide your outstanding programs some information may be disclosed to other organisations i.e. Gymnastics NSW, Gymnastics Australia & Insurers. I give permission for my child to be photographed/videod while participating in any club activities and for the photos to be used for publicity as required. The information on this form is complete and correct to the best of my knowledge.