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 there is an assumption of risk and that Gymnastics is an aerial sport and injuries and accidents can occur at no fault to the staff or coaches. I hereby release all rights and claims for damages that I/ we have at any time against Acrogym, and its representatives, whether paid or volunteer, for any injuries or damages in connection with the gymnastics program or other activities related to Acrogym. 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.

Term Fees need to be paid on time. Failure to pay on time may result in losing your spot. Term and registration fees are not refundable. Our fees policy can be found on www.acrogym.com.au

The information on this form is complete and correct to the best of my knowledge.