Flipz Academy – Super Performance Centre

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Monday, 14 September

to

Saturday, 19 September

Please note and follow the age requirements for each class

Ballet

Tiny Tots Ballet (under 5 years): Monday 14 Sept 2020, 10:00am-10:30am
Junior Ballet (5-9 years): Monday 14 Sept 2020, 3:45pm-4:45pm
Senior Ballet (10-15 years): Wednesday 16 Sept 2020, 3:45pm-4:45pm
Junior Ballet (5-9 years): Thursday 17 Sept 2020, 3:45pm-4:45pm
Junior Ballet (5-9 years): Saturday 19 Sept 2020, 10:00am-11:00am

Contemporary

Junior Contemporary (5-9 years): Monday 14 Sept 2020, 4:45pm-5:45pm
Senior Contemporary (10-15 years): Wednesday 16 Sept 2020, 4:45pm-5:45pm
Junior Contemporary (5-9 years): Monday 17 Sept 2020, 4:45pm-5:45pm
Junior Contemporary (5-9 years): Saturday 19 Sept 2020, 11:00am-12:00am

Hip Hop

Junior Hip Hop (5-9 years): Tuesday 15 Sept 2020, 4:45pm-5:45pm
Open age / Adults Hip Hop (16years+): Tuesday 15 September, 5:45pm-6:45pm
Senior Hip Hop (10-15 years): Tuesday 15 Sept 2020, 6:45pm-7:45pm

Jazz

Tiny Tots Jazz (under 5 years): Monday 14 Sept 2020, 9:30am-10:00am

Athlete Name *

First

Last

Birthdate *

M/F: *

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name

First

Last

Phone *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Email *

Emergency Phone number *

For transfer and insurance reasons, has the participant been enrolled in any previous Gymnastics Club? If Yes, Please specify below:

Athlete's medical history:

Please provide details of any medical, physical or intellectual condition that may have a bearing on your child's ability, safety or behaviour in class

Is your child on any medication we should be aware of? Please specify:

I consent for SPC to keep a record of my/my child's medical information: *

I confirm

Does your child suffer from any allergies (ie medical, bee sting, food, etc)? Please specify:

SPC Policies:

I give permission for images of my child to be acquired by a sanctioned videographer while participating in any club activities. I consent for the images to be used for publicity if required.

I give permission for my child to receive medical/ambulance assistance in case of emergency and agree to pay such costs.

I understand that I may access my child's personal information held by the Centre upon request

I understand a formal registration policy is recorded and is available upon request

All classes continue during School Holidays, excluding Public Holidays

All members must register for Trampoline sessions and wear wrist band and grip socks during their session

SPC has strictly NO REFUND policy

By signing this form, I accept SPC Policies: *

I accept

The information provided in this form is complete and correct to the best of my knowledge and I undertake to advise the club promptly of any changes that may occur: *

I confirm

How did you hear about us? *

Your expectations are important to us in delivering a quality service. What do you hope your child will gain through our programs?

Consent form/Indemnity:

By signing this, I fully understand the nature of Super Performance Centre's classes and activities and agree for my child/myself to participate at their own risk, knowing and accepting that Super Performance Centre will ensure that all activities are carried out in a safe and reasonable manner.

I agree and abide by any guidelines set out by Super Performance Centre and to follow the instructions given by coaches, teachers and/or Super Performance Centre staff. I also undertake to pay all medical costs, which may be incurred by me and by anyone as a result of my actions while participating in these activities.

I shall, on demand, indemnify and keep indemnified Super Performance Centre against all reasonable costs, charges, expenses, liabilities, outgoings and payments which Super Performance Centre pays or sustains in any way arising from any circumstance which may occur during my(the member) attendance at Super Performance Centre's program(s).

Please follow the link to read: SPC Terms&Conditions

I agree to SPC Terms&Conditions *

I agree

Signature *

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Super Performance Centre 07 5532 8429

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Flipz Academy – Super Performance Centre

163-171 Ferry Road Corner Ferry Rd & Benowa Rd Inside Southport Park Shopping Centre, Southport, Gold Coast, QLD 4215
07 5532 8429
info@flipz.au