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, in which case you just turn up once you have completed your student registration form.

There is a £17 joining fee (which is payable after your initial trial if you wish to continue), 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

    Student 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

    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

    Contact Number

    Subscribe to the mailing list?

    YesNo

    Relationship to Student

    Permission to take & use photos / videos of student for publicity media.

    YesNo

    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.