Term 1 2023 UNDER 7s (9-10am) Gym class registration - Autism Intervention Trust
The Autism Intervention Trust with the support of Capital Gym Sports run two gym classes on Sunday mornings during school term time. The aim of the classes is to provide opportunities for children on the autism spectrum to enjoy a gym class and gain skills in an environment and with a routine that works for them, and most importantly to have fun!

Enrolment is required for each term, and siblings are encouraged and welcome.

Parents or caregivers need to stay with children for safety and supervision.

The two classes are loosely split by age, but please register / enrol your child in the class which would suit them best. This form is for the younger children (under 7ish) class from 9-10am each week.

Term dates:
26 February to 2 April

As it sometimes takes a while for autistic children to actively engage in activities, we offer the first two classes free of charge.

If you wish to continue after your first two classes there is a cost to enrol (per term):
$60 for Autism Intervention Trust financial members, or
$70 for non financial members

We hope to see you at a class soon,

Ngā mihi

Kat and Autism Intervention Trust
gym@autisminterventiontrust.org.nz

Capital Gym Sports, 11 Hutchison Road (next to Bowlarama), Newtown Wellington.
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Has your child attended this gym class before? *
Families can attend for the first two sessions free of charge to see if it works for them
Child/ren's name(s) *
Please include surname
Child/ren's date of birth *
dd/mm/yy
Will siblings also attend? *
If siblings are attending, please provide name(s)
Parent / Caregiver name(s) *
Please include surname(s)
Contact email *
Other email
If you want another person to receive emails about gym
Contact cell phone
In case we need to text late cancellation or change of class times.
What is your Autism Intervention Trust membership status? *
Financial members have paid an annual membership fee and are entitled to discounts.
Use of image consent. *
The gym classes are provided at a discounted rate. This is possible through the support of a number of sponsors and grant funders. To support our proposals, the Trust uses photos to promote the gym classes with funders. Photos from the gym classes may also be used in other promotional material, such as our Annual Report and through social media. Do you give the Autism Intervention Trust permission to use photos of your child for these purposes?
Do you have any feedback about these sessions?
Positive feedback is great for the Autism Intervention Trust team and Grant Funders. Constructive feedback helps us to improve the sessions for everyone.
Please acknowledge that you have read and accept the following parent / caregiver health and safety agreement. *
Parent / caregiver  agreement: I agree to ensure my child (children) are adequately supervised at all times during the gym class, and I agree to follow all safety instructions as advised by the Capital Gym Sports instructors.
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