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Westcoast Calisthenics Club - 2020 Enrolment
Please fill out one form per student - you will receive a copy of your responses via email as confirmation that this form has been submitted.
Westcoast Calisthenics Incorporated (Registered No: A9498)
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Email
*
Your email
Name
*
Child's Name - Please note that the name will appear on the Concert Program and Participation Medallion as written below.
Your answer
Contact Phone Number
*
Your answer
Address
*
Your answer
Date of Birth
*
Your answer
Section this year (2020)
*
Age groups are determined by the competitors age on the 31st of December 2020.
Choose
Tinies (3-7 years)
Subbies (8-10 years)
Juniors (11-13 years)
Inters (14-17 years)
Seniors (17+ years)
Masters (26+ years)
Parent/Guardian (1)
*
Your answer
Parent/Guardian (2)
Your answer
Emergency Contact (1)
*
Please list Name and Phone number.
Your answer
Emergency Contact (2)
Please list Name and Phone number.
Your answer
Medical Conditions and Allergies
*
Please list any Medical conditions, Allergies or Disabilities that a Coach should be aware of? Please write 'no' if there are no medical conditions or allergies.
Your answer
Doctors Name & Phone
*
Please list name and contact number.
Your answer
Medicare Number
*
Please include your child's reference number from Medicare Card.
Your answer
Ambulance Cover Number
Please include Ambulance Subscriber number if you are covered.
Your answer
Working with Children Check or VIT
Calisthenics Victoria requires all competition volunteers and anyone who will enter a dressing room, to hold a current Working with Children Check - Please list the name, number and expiry of the WWCC/VIT.
Your answer
Medical Permission
*
By ticking this box I acknowledge that Westcoast Calisthenics Club Incorporated will accept this as containing my electronic signature for the purpose of signing this document.
I hereby give my permission where it is impractical to contact me, for my child to receive whatever medical attention is deemed necessary by the Coach and committee of Westcoast Calisthenics Club.
Required
Club Policy Documents
*
Please read the documents listed below (as contained on the Westcoast Calisthenics website -
https://www.westcoastcalisthenics.com/club-policies
) and tick boxes indicating that you agree to abide by, and to acknowledge that you have read and understood these requirements.
Westcoast Calisthenics Inc Code of Conduct
Westcoast Calisthenics Inc Communications and Technology Policy
Westcoast Calisthenics Child Safe Policy
Required
Calisthenics Victoria Registration for 2020
*
You must register with Calisthenics Victoria and pay the CV registration fee of $85 for 2020 via this link:
http://calisthenics.asn.au/performers/revolutionisesport/
- please ensure you return and complete the rest of this google form once you have filled out your CV registration.
I have registered with Calisthenics Victoria using the link above.
Required
Signature
*
By ticking this box I acknowledge that Westcoast Calisthenics Club Incorporated will accept this as containing my electronic signature for the purpose of signing this document.
I am aware of the commitment that is required of my child/myself regarding class attendance, competitions, costuming and general participation in the club.
Required
A copy of your responses will be emailed to the address you provided.
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