Leatherhead & Dorking Gymnastics Private Sessions
1 to 1 Coaching, Open to Members and Non-Members
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Email *
Coach Preference *
Required
TERM TIME ONLY - 8-9pm only
SCHOOL HOLIDAYS ONLY
SCHOOL HOLIDAY TIMES
Saturday Times
Sunday Times
Please advise your apparatus requirements *
Required
Other*
Child's Name *
Child's Date of birth *
MM
/
DD
/
YYYY
Current Gymnastics Club attending *
Address *
*
Parent / Guardian Name *
Your relationship to child *
Main contact email address *
Main emergency telephone number *
Secondary contact name *
Secondary contact relationship to child *
Secondary Emergency telephone number *
Secondary email address
Any known medical conditions, allergies or disabilities we should be made aware of. *
Has your child got current British Gymnastics Membership *
If you answered No to BG Membership what insurance do they currently hold?
British Gymnastics Membership Number if held
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