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J.M.Acrobatics Enrollment Form
Please fill out the information below. We will contact you as soon as a space becomes available.
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Student full name:
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Your answer
Student Date of birth:
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Your answer
Parent/Guardian full name:
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Your answer
Emergency contact number:
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Your answer
Additional Emergency contact number:
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Email:
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Your answer
Home Address:
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Post Code:
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Your answer
Please select which classes you would like to enroll onto
Acrobatics
Musical Theatre
Combo Class (ballet, tricks, tumbling)
Competition team
Medication taken/Conditions/ Allergies/ Injuries/ Hearing or Sight impairment:
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Previous experience- Acrobatics, Dance or Gymnastics. Please also state previous exams taken or level previously studied:
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I give consent for my child to be given any emergency treatment deemed necessary by either J.M.Acrobatics qualified first aiders or emergency services.
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I consent
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I give my consent for any instructor at J.M.Acrobatics to use their physical contact technique.
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I consent
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I grant J.M.Acrobatics the right to use photographs/videos or reproductions/adaptations of the photographs/videos for purposes in relation to J.M.Acrobatics work Including Website, Facebook, Instagram, Newspapers/magazines.
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Any further information you wish to let us know
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