2023 Registration Form Term 2

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Please complete all required information prior to commencing sessions.

Email *

Student Information

First Name *

Surname *

Date Of Birth *

YYYY

Gender *

Female

Male

School *

2023 Class *

My child is registering for the morning Competitive AeroSquad - Term fee $240 *

Note: 2 x sessions per week. 8 week program commencing week 2 May 1st - Lunch time 1 x Tuesday (yrs 2/3) or Wednesday (yrs 4/5/6) plus 1 x morning session per week Thursdays 7:45-8:45am. All students may compete in a team at GNSW AeroSchools State Championships - Friday August 11. Only selected students will be invited to also compete in pairs/trios. All students may wear sport uniform on training days and MUST bring a water bottle. Please note - in addition to term fee, compulsory annual GNSW Insurance $130 is required for new students only.

YES - My child is registering for term 2 Squad I will pay $240 term fee - due Friday May 5

Tick - only if your child is a NEW squad member term 2 - pay additional GNSW Insurance $130 contact program director if you wish to use an active kids voucher towards insurance

NO - My child will register for the lunchtime only AeroFun/Skills program

Required

My child is registering for the lunchtime AeroFun/AeroSkills program only- Term fee $120 *

Note: 8 week program commencing week 2 - 1 x Tuesdays (yrs 2/3) or Wednesday (yrs 4/5/6) lunch session per week. Competing at GNSW AeroSchools State Championships is optional - Friday August 11. All students may wear sport uniform on training days and MUST bring a water bottle. GNSW insurance is not required.

YES - My child is registering for term 2 lunch only I will pay $120 term fee - due Friday May 5

NO - My child has registered for the morning AeroSquad program

Required

My child would like to compete at the GNSW AeroSchools Championships Friday August 11

Note: All students years 2-6 will be placed in a team. If your child will not be available on August 11 please notify Joelle so routines can be choreographed accordingly.

YES - my child wishes to participate in the AeroSchools Championships August 11

NO - my child will participate for fitness and fun at school only

Please list any medical conditions including injuries, allergies and medications: (please email asthma/anaphylaxis plans to aerogym@bigpond.com)

Parent/Guardian's Details

Parent Full Name *

Relationship *

Mother

Father

Other:

Mobile Phone *

Confirmation of Enrolment

Registration is confirmed once payment of the term fee is received. Term Fee is advised to each school once enrolments open. St Brigid's Coogee Term 2 program fee AeroSquad before school & lunches $240. New squad students also pay $120 GNSW annual insurance. Lunchtime AeroFun /AeroSkills program $120
Fees are payable in cash or by EFT by Week 2 May 5
Account Name: AeroGym
BSB: 062-148
Acc No: 1060 7019
Reference: Student's Surname & School Code eg: Smith STBC
School Codes: St Brigid's STBC, St Andrew's STAM, Pagewood OLAP, Double Bay DBPS
No invoice reminders will be sent. Late payment of fees will incur a $20 surcharge if invoice sent.
Please email payment receipts to accounts.aerogym@bigpond.com

Confirmation of Payment *

Check this box to confirm you will make payment by cash to the coach Week 2 (no fees to school office)

Check this box to confirm you will pay the Term Fee via EFT by Week 2 May 5

Required

Consent & Authority

I have chosen to have my child participate in dance/gymnastics/aerobic instruction. I acknowledge that I understand the nature of the activities my child will be participating in and that my child is in the proper physical condition and capable of participating in the related activities, understanding that AeroGym staff are not in any way responsible for making such a determination. In consideration of my child’s participation in the program, I understand and agree on behalf of myself and my child, to release, hold harmless, and discharge AeroGym & coaches from all claims, costs, liabilities, expenses or judgments, including medical & legal fees and court costs for any occurrences in connection with any program instruction. I assume all risks to my child in connection with any instruction and further release all coaches from liability for any injury sustained by my child while he or she is enrolled in any instruction program, including all risks reasonably connected with such activity whether foreseen or unforeseen. I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and my child while attending sessions. I authorise and agree that coaches may take and use photographs or videos of my child as needed for training, competition, advertising and/or public relations projects and social media and give on going consent to this. No refunds are given for missed sessions or school absence. It is the responsibility of students to arrive on time for the commencement of sessions. Up to 50% refund of the term fee is possible for students who withdraw due to injury/illness upon presentation of a medical certificate. All program enquires, concerns, feedback etc should be directed to the Program Director not school staff. I agree to respect all team selections and levels allocations as determined by AeroGym coaching staff. AeroSquad members understand that this a competitive program and not all athletes will be selected to compete at every competition.

By checking this box, my electronic signature is proof of my intention to execute this complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above.

Required

A copy of your responses will be emailed to the address you provided.

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