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Bribie Island

Bribie Island

Movement & Strength Club

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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 (arrive any time during these times)
Monday 3:30-6pmFriday 7:30am - 8:30am
Bribie Island Olympic Weightlifting (arrive any time during these times)
Mon, Wed, Thurs 3pm - 6pm
Sat 7am - 10am
Wednesday 4pm Beginner1 Session per week (any day)2+sessions per week (any day)
I'd like to pay my invoice:
Monthly3 Monthly with 5% discount

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.

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Contact

Jade Sharp

0412 483 667
bribiemas@gmail.com

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Location

Bribie Island Movement & Strength Club

Bribie Island AFL GROUNDS
First Ave
Bribie Island Qld 4507

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