Fitness Academy Registration

Fields marked with an asterisk are required.

Please fill in the below form to register your child for the Fitness Academy

Fields marked with an asterisk are required
Click here to read our Disclaimer
Confirm you agree with the disclaimer*
- I agree
Your Name*
FirstLast
Your Child's Name*
FirstLast
Date of Birth*
Gender*
Contact email*
Contact Telephone/Mobile
Does your child suffer from any allergies? (ie. penicillin / hayfever)*
- Yes
- No
Does your child have a history of asthma, epilepsy or blood disorders such as hepatitis C or haemophillia?*
- Yes
- No
Is your child on any medication?*
- Yes
- No
Does your child have or had any injuries, broken or strained bones, muscles or ligaments?*
- Yes
- No
If you have answered yes to any of the questions please check with your doctor before starting an exercise program

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