Jump 2 It & North Staffs Trampolining Consent Form – Jump 2 it Coaching and North Staffordshire Trampolining Gymnastics Club

Venue *

Wallace Centre
South Moorlands
Chesterton High
Congleton High

Class Type *

Weekly
Holiday
1 to 1

Child's Name (1st) *

First

Last

Date of Birth *

Child's Name (2nd)

First

Last

Date of Birth

Child's Name (3rd)

First

Last

Date of Birth

Parent's Name *

First

Last

Mobile Number / Emergency Contact Number *

Emergency Contact Numbers: may also be used for informing you of session cancellations, holiday courses and kit orders. It is the responsibility of the parents/named adult to ensure that any named person is aware that I will be holding the information for the duration of the membership.

Alternative Emergency Contact Number *

Email *

Post code *

Medical conditions, medications taken or disability diagnosis (copy) *

Medical exclusions for Trampolining are: Detaching retina, rodded back, brittle bones, and pregnancy. Participants with Downs Syndrome require a form to be completed by the doctor prior to participating.

I would like my child/myself/client to participant in trampolining and understand there is an element of risk. No liability will be accepted, in respect of injury, loss or damage caused whilst attending. *

I agree

I have read and agree to abide by the Clubs 'Code of Practise, please follow link below to read *

I agree

For weekly classes, if your child is under 8 to be able to attend you will need to stay in the session with them and stand by the trampoline and spot for them for safety reasons. If you child is over 8 we may still request you to stay if they struggle to spot or not of a suitable height to spot Please click link to read: code of practise

Key points to remember from Code of Practise; *

I agree to only spot/stand by the trampoline for my own child (if under 8)

I agree not to use/hold or have my phone in sight when standing by the trampoline

I agree to set up a standing order on 6th month for payments after the taster (this will be given in detail in the payment message – excludes Cheadle & holiday sessions)

If this does not happen, for every reminder text message sent there will be a late payment fee of £10. If this is not paid or continues each month you will lose your place.

I will ensure my child is at the session on time and collected from the session on time. I will make sure my child knows to only leave the sports hall when I have arrived.

If late more than 5 minutes on 3 occasions you will be asked not to attend on that week, will then need to be on time to continue the class. The warm up is a crucial part of the sessions. If this is a problem please contact us to see if there is another class option which would be more suitable for you.

If my child is allowed to leave the sports hall to meet me or allowed to walk home from the session I will make them aware of this and this is my responsibility

We need permission for personal data to be processed in compliance with GDPR. We take the privacy of our members data seriously and will use your information to maintain club records, share between club coaches to aid in running of sessions, enter you into events you have agreed to participate in and provide you with information about kit, holiday course and other important details. *

I agree

Please follow this link to read our full policy: privacy policy

I give or with hold permission for my child's/mine or clients images and words to be used on our website, social media, local press and leaflets *

Give permission
Withhold permission

Please follow link to read our full policy: images and words policy

Type name to Sign – Parent/Guardian *

I confirm that all information given in this form is correct. By typing my full name into this box, I consider this to be legally binding signature.

Type Name *

Information for Taster sessions. Thankyou for completing the above consent form, please submit after reading this. –It is very important to have read the code of practise as highlights all rules you need to abide by (see link above). — If your child is under 8 you will need to stay and stand with your child for safety reasons. –Please give £s cash to the coach on duty for the taster session. ——————————What Will Happen in the First Session –A floor warm up: A gentle warmup to get going. – Please wear trainers for this. ————————-On the Trampoline: A coach will start with your child for two attempts to show them what to do. If your child is under 8 please stand by the trampoline with them. The coach will then move round trampoline, so your child can practise what they have learnt with input. ————Each attempt is a minute and a half – a buzzers sounds when it is time to change over. In the first session your child should cover the basic moves of jumping and stopping, tuck, stars, straddles, ½ twists and seat landings. Progress permitting they may also do pike jumps, back bounces and linking moves. —To finish: We play a different game on the trampoline each week followed by a cool down on the floor. ——–End of Session Please come speak to a coach before you leave so we can get some feedback on the session and to discuss future sessions. If your child would like to come back, they will start on an award and will work towards achieving a badge and certificate which can be bought for £3 when completed. Moves start off easy and get harder as you progress. ————————————————————–Payment (Chesterton, Wallace & Congleton) The Head Coach Jenny will send you a text message with payment amount due and details for future months. –Thank you for your interest in a taster session. We hope your child(ren) enjoy it! ———————————————If you wish to keep Up to Date on Information please join Facebook: Please feel free to like our Facebook page ‘Jump 2 It Coaching’ and join our group page ‘Jump 2 It Coaching and North staffs Trampolining‘. This is where we post information in regards to payment, cancellations, kit orders, holiday courses and club social. This is always kept up to date with what is going on.