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 (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. 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.
