Re-Enrolment Form


Term 1 - September - December 2019

This form is only for current members only.

Payment must be received within five working days of submitting form to secure your place.

Child's Full name *
Child's Full name
Child's Date of Birth *
Child's Date of Birth
Name parent 1 *
Name parent 1
Contact details of Parents/Guardians:
Phone parent 1 *
Phone parent 1
Rebound Class *
Rebound Gymnastics Class - only choose the class you have been advised to.
Photographic/Video Consent: *
I understand that photographs or video images may be taken during gymnastics classes or events and may be used in promotion of Rebound Gymnastics or for training/coaching purposes.
Consent for Medical treatment *
In the event of illness, having parental responsibility, I give permission for medical treatment to be administered to my child where considered necessary by a nominated first aider, or by a suitably qualified medical practitioner. If I cannot be contacted and my child needs emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.
Acknowledgement, Waiver and Release from Liability: *
I confirm that I have not been advised against participation in gymnastics classes by a health professional. In consideration for allowing me to become a member of Rebound Gymnastics and participate in gymnastics classes and events, I agree to the following: 1. To abide by all Rebound gymnastics rules, policies and procedures as amended from time to time and I acknowledge that membership may be revoked or suspended for violation of these rules 2. To waive, release and discharge from any or all claims, losses or liabilities for death, personal injury, partial or permanent disability, property damage, medical expenses, theft or damage of any kind, including economic losses, which may in the future arise out of or related to my child’s participation in gymnastics classes, for whatever reason, the following entities: Rebound Gymnastics, Rebound Gymnastics Employees, Rebound Gymnastics Contractors, Rebound Gymnastics volunteers and representatives and agents of any of the above. 3. Not to persue a claim of any kind against any of the persons or entities mentioned above in paragraph 2 for any claims, losses, or liabilities that I have waived, released, or discharged herein. 4. My membership details/records being held on a computer database by Rebound Gymnastics.
Rules for Parents and Gymnasts *
My child and I have read and agree to abide by the rules of Rebound Gymnastics. (rules available on www.reboundgymnastics.ie.
Date
Date