2021 Registration Form
Please complete all required information prior to commencing sessions.
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Email *
Student Information
First Name *
Surname *
Date Of Birth *
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Gender *
School *
2021 Class *
My child would like to participate in the Gymnastics NSW State Championships. *
Note: Only selected students Years 3-9 will be chosen to compete in trios & pairs held on Sunday March 7 Trial 2 and March 27/28. Parents agree to respect all team selection decisions made by coaches.
I am registering my child for the Monday after school AeroElite program - Term 1 Fee $155 plus $100 GNSW Insurance *
Note: 9 week program by invitation only 6:30-7:30pm. Once off annual compulsory $100 GNSW Insurance required upon registration term 1. Active / Creative kids vouchers can be used to cover this fee. If using voucher please email it to aerogym@bigpond.com along with DOB by Feb 5. Late vouchers will not be accepted.
My child is competing in a solo and requires individual sessions
Note: Individual athletes must book minimum 2 individual sessions prior to competition. $45 cash to be paid to the coach at the session. Please indicate all available times and your dates will be confirmed shortly.
Please list any medical conditions including injuries, allergies and medications: (please email asthma/anaphylaxis plans to aerogym@bigpond.com)
Parent/Guardian's Details
Full Name *
Relationship *
Address
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. AeroElite 9 week program.
Fees are payable by Week 2 of term - $155 plus $100 GNSW insurance if applicable
Account Name: AeroGym
BSB: 062-148
Acc No: 1060 7019
Reference: Student's Surname & School Code eg: Smith MLCB
School Codes: Brigidine - BCR, St Vincent's - SVCP, St Claire's - STCW
No invoice reminders will be sent. Late payment of fees will incur a $15 surcharge
Please email payment receipts to accounts.aerogym@bigpond.com
Confirmation of Payment *
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.
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A copy of your responses will be emailed to the address you provided.
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