Nemesis Zoom Kids Class
This form is required to register for our online Kids age 4-10 cheerleading zoom class, it must be completed in full to complete your enrolment. Any information you provide will be held in confidence. This form is to help us gain contact information for each participant in our class. For further information please contact us at nemesischeeranddance@gmail.com or visit our website or Facebook page: https://www.nemesischeer.co.uk/
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I give permission for photographs/ videos of my child, to be taken during the activities and used in the media, promotional material by the club, on Nemesis Cheer and Dance social media (for advertising purposes) and to use video analysis to provide feedback to the athlete/ teams
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Participant full name
Date of birth
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Age
Medical conditions we may need to be aware of for class
Parent/ guardian full name
Address
Email address for parent/ guardian (please insure this is correct as this is how we will contact you regarding classes).
Contact number
Emergency contact name and contact number
Please ensure you have read and understand the following terms and conditions.
1. I am aware Nemesis cheer and dance classes, is an exercise class and may involve strenuous exercise.2. I am aware that it is my right to decide what elements of online classes my child participates in and they can withdraw at any point. 3. I understand it is my responsibility to ascertain if there is any medical reason why my child cannot participate in class.4. I understand it is my responsibility to check the participant’s exercise area and ensure any risks are minimised (e.g. slip and trip hazards). 5. I understand that my child must be supervised by an appropriate adult during their zoom class, this does not mean I need to be in the frame, but need to ensure they are supervised. 6. The rules of the gym still apply to these classes meaning appropriate language and behaviour is necessary, from both  children and parents. 7. I accept full responsibility for any injuries my child may occur during participation in Nemesis online Cheer class and waive the right to any claim against Nemesis Cheer and Dance and the person(s) of entity involved in anyway. 8. I understand that In the unlikely event it is needed, first aid cannot be provided by Nemesis staff during online classes and accept my responsibility to contact emergency services if required. 9. I understand it is my responsibility to ensure safety of my child, the participant and accept full responsibility for any injuries, muscle stiffness or any other issues that may occur. I have read this informed consent waiver and release liability. Accepting all terms and conditions outlined above.
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 I give permission for Nemesis Cheer and Dance to store my information and use it contact me regularly to provide class videos and class information
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Indicate payment method and forward first payment at your earliest convenience to receive class video. You will not receive your class until we receive payment. Classes can be paid in block payments or weekly, (please use participant name as payment reference). Please note no refunds will be provided.
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Date completed
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