Register Participant Details Athletes Name Athletes DOB M/F Address Postcode Parent/Guardian Name Parent/Guardian Phone Emergency Contact Name Emergency Contact Phone Your Email Address Medical Details Are there any medical conditions that we should know about before commencing our sessions? YesNo If yes, please provide details Social Media Consent From time to time, Bribie Island Movement & Strength Club Inc uses social media to promote our athletes' learning and accomplishing new skills. Only first names of the athletes will be used. Photos and videos of your child may be used on social media if permission is given. Yes. I give permissionNo. I do not give permission Class Options St Michael's Weightlifting Monday 3:30pm-4:30pm Bribie Island Weightlifting Monday 3pm - 5pm Wednesday 3pm - 5pm Thursday 3:30pm - 5pm Club Member Agreement I understand that participation in Bribie Island Movement and Strength Inc. Activities involves the risk of injury and/or loss and damage to my property and that I participate in Bribie Island Movement and Strength Inc. activities at my own risk. Bribie Island Movement and Strength Inc., its staff, management and volunteers are not liable for any personal injury, loss or damage of property or expenses, including medical expenses, which I or my child or ward may suffer at the Club and/or as a results of a Bribie Island Movement and Strength Inc. activity. I acknowledge that I have provided medical information only for emergency purposes in the form, and that Bribie Island Movement and Strength Inc. is not liable for failing to use this information in any circumstances. I accept that all fees are to be paid in full no later than week 2 of every term or 2 weeks after commencement. No cash refunds will be offered under any circumstances. I understand that missed classes can be organised with coaches and where possible, made up on other days throughout that term only. I understand that if my child is participating, I will drop off and pick my child up on time. I understand that I also need to register my child separately through QLD Weightlifting and pay the relevant fees associated. Yes. I agreeNo. I do not agree All the information provided on this form by me is accurate and true. I have read and accept those sections of this form relating to Participation, Medical, Social Media Authorisation and Club member Agreement.
