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Personal Information
* These fields are required for form submision
Parent's Full Name & Surname
Parent's Date of Birth
ID Number
Passport Number
Physical Address
Work Number
WhatsApp Number
Postal Code
Email
Country of Birth
Marital Status
I am the Parent / Guardian of:
Child's First Name
Child's Last Name
Age
Grade
Do you give consent for the use of your child's photos being used on our Social Media. This helps us in sharing our classes with the parents while they are unable to attend.
YES
NO
Do you give consent for the use of your child's photos being used on our school WhatsApp group. This helps us in sharing our classes with the parents while they are unable to attend.
(This group will only have your schools Flipflop Gymnastics parents on it). It is not a Public group at all.
YES
NO
I hereby consent
to Flipflop Gymnastics collecting and storing my personal information.
Flipflop Gymnastics will at all times hold the information requested in this form in the strictest of confidence. Flipflop Gymnastics shall comply with its obligations under Data Protection Legislation. Flipflop Gymnastics shall not process, disclose or use personal information, except (i) to the extent necessary for the provision of services under this Contract, or (ii) as otherwise expressly authorised in law.
I have read, understand and agree to the Flipflop Gymnastics
Consent and Indemnity Form
Date
Medical Information
Please provide any information that will assist me to take better care of your child, e.g. Asthma, diabetes, allergies, etc. If your child has a serious medical condition, a letter from their Doctor is required before he / she may participate.
Name of Medical Aid
Medical Aid Number
Next-of-kin (in the event that the parent / guardian is uncontactable)
Full Name & Surname
Contact Number
Relationship to Child
COVID-19 INDIVIDUAL MEMBER ASSESSMENT AND INDEMNITY FORM
Do you or anyone you live with currently have any of the following symptoms: (Y / N)
Fever
Yes:
No :
Dry Cough
Yes:
No :
Runny Nose
Yes:
No :
Sore Throat
Yes:
No :
Short of Breath
Yes:
No :
Temperature
Yes:
No :
I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. I understand that due to the frequency of visits of other gymnasts, the characteristics of the virus, and the characteristics of gymnastics activities, that I have an elevated risk of contracting the virus simply by being at the gymnastics venue. High risk patients relating to the severity of COVID-19 are persons over the age of 60 and persons who have pre-existing medical conditions such as: asthma, chronic lung conditions, hypertension, autoimmune disease, organ transplants, cancer, immunocompromised, obesity (BMI over 40) and liver or kidney disease conditions. I confirm I, nor my minor fall into any of these high-risk categories. I am aware of the risks involved with the spread of COVID-19 and the risks it may hold to my health and the health of others I come in contact with. I accept those risks and hereby indemnify and hold the gymnastics club and his/her staff blameless should I contract the disease at the venue of the gymnastics club or from the gymnastics club staff members. I will abide by all the regulations and rules for participation in gymnastics activities as laid out in the SAGF COVID-19 and this Flipflop Gymnastics policy. I have read and understood these regulations and rules for participation in gymnastics activities as laid out in the SAGF COVID-19 and this Flipflop Gymnastics policy and confirm I will comply thereto and prepare accordingly.
Important Notes
Primary Schools - A paid terms' notice is required for termination of the contract if a full months' Email notice is not given as per the signed Agreement
Nursery Schools - A paid months' notice is required for termination of the contract if a full months' Email notice is not given as per the signed Agreement
Private Schools have between 9 and 11 lessons per term
Private lessons will be billed unless cancellation is done 24 hours prior to the class
Government Schools have between 6 and 8 lessons per term
We do not make up lessons missed due to Illness, Public holidays, School holidays, Earlier closure times or Lightning warnings
ASSUMPTION CONVENT
ONGOING AGREEMENT (Notice required)
Ages: Two & Up (Girls)
Outfit: School PT clothes, Tracksuits or Flipflop gear
(No skirts or jeans for Nursery Schools please)
Days: Friday
Times: 13:15 - 14:15
Venue: Assumption Convent School
Fees: Full fee payable monthly for Nursery schools and termly for Primary schools
I hereby agree to pay Flipflop Gymnastics the full term fee of R1000-00, in advance. As well as the Annual Registration fee of R200-00 on sign-up. Fees are non-refundable.
A fine of R150.00 will be charged for late payments.
I undertake to provide Flipflop Gymnastics with one full Calendar months' Email notice should I decide to terminate my child's participation. I acknowledge that such notice must be contained in a written document via Email and may not be provided by way of SMS / WhatsApp or Cellular Telephone call. In the event of my failure to provide the required notice, I shall be liable for payment of the full fee, which I hereby undertake to pay. One month full fee for Nursery schools / Private classes and one term full fee for Primary schools.
Flipflop Gymnastics - FNB Bank Karaglen
Branch code: 252442
Account: 62597493685
Kindly Email proof of payment to
Tanhudson68@gmail.com
and your
coach
Please add child's Name, Surname & School as a Reference
I ACCEPT AND UNDERSTAND THE ABOVE MENTIONED TERMS OF AGREEMENT.
APPLY
OUR CURRENT GYMNASTICS CLUBS
Please select your school for the Enrolment Form
Assumption Convent
Baby Geeks
Bambini
Bedfordview Primary
Bright
Beginnings
Bryneven Primary
Bryanston Grade 0
Bugs and Beetles
Bunny's Smarty
Pants Playgroup
C.A.R.E
Cedarwood
Cosmo Kidz
Craighall Primary
Dibber
Baby and Kids
Different Strokes
Montessori Norwood
Houghton
Hurlyvale
Primary
Hurlyvale
Pre Primary
Jeppe Prep
Kyalami Estates
Pre-primary
Kyalami and
Kyalami Nursery
Little 5
Sandton
Little
Ashfords
Little Cedars
Kids Academy
Little Hill
Maranatha
Christian School
Minion
Play School
Montessori on 1st
Preschool
Nursery School
Of The Arts
O'Summit
Shaarei Torah
St Anthony's /
Little Shepherds
Multichoice
Thuthuka
Riviera
Nursery School
Private Lessons
(Home Classes)