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GENERAL INFO
ABOUT US
MANAGEMENT
OUR COACHES
REGISTRATION
CANCELLATION FORM
COACHES AND JUDGES CORNER
COMPETITIONS
EVENTS
RESULTS
MAPS
DOCUMENTS
Circulars – Potchefstroom
Circulars – Lichtenburg
Circulars – Sannieshof
TARIFFS
Potchefstroom
CONTACT US
HOME
GENERAL INFO
ABOUT US
MANAGEMENT
OUR COACHES
REGISTRATION
CANCELLATION FORM
COACHES AND JUDGES CORNER
COMPETITIONS
EVENTS
RESULTS
MAPS
DOCUMENTS
Circulars – Potchefstroom
Circulars – Lichtenburg
Circulars – Sannieshof
TARIFFS
Potchefstroom
CONTACT US
Registration Potchefstroom
GYMNASTS DETAILS:
How many children to you wish to enter for gymnastics?
1
2
3
New Gymast?
(Required)
Yes
No
Gymnast Names and Surname
(Required)
Gymnast Nickname:
Date of birth
(Required)
DD slash MM slash YYYY
School
(Required)
Grade
(Required)
ID number
(Required)
Discipline
Girls Artistics
Boys Artistics
Medical Aid Information
Allergies
Home Doctor Contact Number
Gymnast 2
New Gymast?
(Required)
Yes
No
Gymnast Names and Surname
(Required)
Gymnast Nickname:
Date of birth
(Required)
DD slash MM slash YYYY
School
(Required)
Grade
(Required)
ID number
(Required)
Discipline
Girls Artistics
Boys Artistics
Medical Aid Information
Allergies
Home Doctor Contact Number
Gymnast 3
New Gymast?
(Required)
Yes
No
Gymnast Names and Surname
(Required)
Gymnast Nickname:
Date of birth
(Required)
DD slash MM slash YYYY
School
(Required)
Grade
(Required)
ID number
(Required)
Discipline
Girls Artistics
Boys Artistics
Medical Aid Information
Allergies
Home Doctor Contact Number
EMERGENCY CONTACT:
Emergency Contact Name and Surname
(Required)
Emergency Contact Tel (not parents number)
(Required)
*If parents/guardian not available
Emergency Contact Relation
(Required)
PARENT(‘S) / GUARDIAN(‘S) DETAILS:
PARENT / GUARDIAN 1
Name (Parent/Guardian 1)
(Required)
Surname (Parent/Guardian 1)
(Required)
ID (Parent/Guardian 1)
(Required)
Cell Number (Parent/Guardian 1)
(Required)
Telephone (H) (Parent/Guardian 1)
Telephone (W) (Parent/Guardian 1)
Home Address (Parent/Guardian 1)
(Required)
E-Mail (Parent/Guardian 1)
(Required)
PARENT / GUARDIAN 2
Name (Parent/Guardian 2)
Surname (Parent/Guardian 2)
ID (Parent/Guardian 2)
Cell Number (Parent/Guardian 2)
Telephone (H) (Parent/Guardian 2)
Telephone (W) (Parent/Guardian 2)
Home Address (Parent/Guardian 2)
E-Mail (Parent/Guardian 2)
I hereby agree to the following statements
(Required)
Yes
No
Did you read the club information letter?
(Required)
Yes
No
Person Responsible (who will be responsible for the account):
Name and Surname (Financial)
(Required)
Contact Number (Financial)
(Required)
ID Number (Financial)
(Required)
Email Address (Financial)
(Required)
Address (Financial)
(Required)
UNDERTAKE GYMNASTICS TO SUPPORT THE FOLLOWING ISSUES:
Click here for club information pdf’s
Hereby authorize my child’s photos to be posted on Face book or on the Bug web page.
(Required)
Yes
No
I have read the Idemnity form of Gymnastics and agree and accept the content
(Required)
Yes
No
Click here for Indemnity Form
I declare that by entering these events, I consent and grant to Gymnastics SA, its employees, agents and / representatives rights to photograph, film or otherwise record my image and/or likeness and/or voice and to copyright, publish, distribute and use such image or recording for any lawful purpose, including but not limited to publicity, illustration, advertising, social media, broadcasting and web content.
(Required)
Yes
No
