Free trial Registration - Connells Point Physie
Event Timing: Any Monday,Wednesday or Thursday in Term 1
Event Address:
Monday's: St Marks Church, 10 The Mall, South Hurstville
Wednesday's and Thursday's: OES HAll, 111 Victoria Avenue, Mortdale
Contact us at 0424 576 262 or connellspointphysie@gmail.com

**Valid for new members only, one week free trial
**Trials are welcome all year round, please contact us via the above details if you are interested in a trial later in the year.
Sign in to Google to save your progress. Learn more
Name of trial participant *
Age of trial participant on 31st August 2023 *
If under 18, Name of Parent or guardian completing form
Email *
Phone Number *
What day/s will you attend in your trial week? *
Required
What date do you wish to come along to trial?
MM
/
DD
/
YYYY
Which class do you wish to trial? *
Which day/s are you likely to attend regular classes?
PHOTOGRAPHY/VIDEOGRAPHY DISCLAIMER: ** I give permission for any photos of myself/my daughter/s to be able to be used by Connells Point Physie and or BjP for website/social media and promotional material, including on banners, signage and marketing to be used in years to come.
Clear selection
ACCIDENT AND INJURY DISCLAIMER/TERMS AND CONDITIONS: ** Please understand it is your responsibility to inform us if the Member has any medical condition or special requirements of which we should be aware. You may include details on this form or you may discuss with us confidentially. Physie classes can involve risk of personal injury. Attendance and participation in any classes and related activities (such as competitions and displays) is at your/the Member's own risk and Connells Point Physical Culture Club is not responsible or liable for: *Supervision or care of non-participating children attending classes or activities or supervision of participants outside of class times * Any injury suffered by participants, or any other person whilst attending or participating in any class or related activity * Any damage to or loss of property. When submitting this form, you agree not to sue, and you release Connells Point Physical Culture Club, its committee members, instructors and members from all liability and claims whatsoever which you may have against any of them arising from or relating to these matters. Connells Point Physical Culture Club holds and will maintain appropriate insurances and will take reasonable care in the conduct of any classes and related activities. If the scheduled teacher is unavailable due to unforeseen circumstances a replacement teacher with similar skill base will be provided. Class participants as well as family and friends attending classes and related activities must follow the instructions and reasonable requests of Connells Point Physical Culture Club, its committee members and instructors and exercise reasonable care. Please indicate your acceptance ticking 'agree' on this form. Where the Member is under 18 years this form must be signed completed by a parent or guardian. *
Required
How did you hear about Connells Point Physie? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms