Student Registration Form (Under 18 only)

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Use this if the student is under the age of 18.

If you want to request a place in our classes on a membership basis you can do so via our Membership Request Form.

You also have the option of Pay as you go which is £10 per session, abortion in which case you just turn up once you have completed your student registration form.

There is a £15 registration fee (which is payable after your initial trial if you wish to continue), no rx which covers the registration process, a T Shirt.

Once you have registered you will need to purchase a Trial Session ticket via our shop.

Once you have purchased your trial ticket turn up for any beginner class for your trial bringing proof of purchase via a print out or on your phone.

If in doubt please contact us to arrange a suitable session.

 

Student Details

First Name
Last Name
DOB (YYYY-MM-DD)
if you are a Mac / Safari browser user please format the date to yyyy-mm-dd
Address
Sex MaleFemale
Your Email
Contact Number
Subscribe to the mailing list? YesNo
How did you hear about us?
Emergency Contact Name
Emergency Contact Number




Parent / Guardian Details

Name
Address
Sex MaleFemale
Your Email
Contact Number
Subscribe to the mailing list? YesNo
Relationship to Student
Permission to take & use photos / videos of student for publicity media. YesNo
Comments




Student Medical Information

Does the student suffer from any heart conditions? ** YesNo
Does the student suffer from any joint conditions? ** YesNo
Does the student take regular medication? ** YesNo
Has the Student had any operations in the last 6 months? ** YesNo
Other medical conditions and / or allergies.


** Also if you have answered "YES" to any of the above questions please provide more detail here




Conditions of Use and Rules of the Academy

Click here for Terms and Conditions


Click here for our disclaimer




Declarations    You must accept all of the following declarations in order to register with us.

The student & Parent / Guardian has read and understood the Conditions of Use and Rules of the Academy, and meets all the requirements. Yes
I confirm that the Student is under 18 years of age. Yes
Does the Student / Parent Guardian agree to abide by the Rules of Paramount Parkour Academy and agree to waiver / disclaimer? Yes
I certify that to the best of my knowledge, that the student does not suffer from a medical condition which might have the effect of making it more likely that I be involved in an accident which could result in injury to myself or others. Yes
I also confirm that the above information is correct and if any information
changes I will notify Paramount Parkour Academy.
Yes




*By submitting this form you agree to the Conditions of Use and Rules of the Academy.

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