Party Form | Mind body and pole

Under 18's participants screening form

Parent/guardian to complete

Full name of parent/guardian

Contact number in case of emergency

Full name of minor attending

Date of birth of attendee

Day

Month

Year

Name of child whose party you are attending

Does your child currently or have they ever suffered from asthma or respiratory illness? If yes, please give details

Does your child participate in any other regular activity? If yes, please give details

Has your child had any recent injuries or operations? If yes, please give details

Does your child suffer with any condition we should be aware of? If yes, please give details

Do you consent to occasional photos/videos of your child being used for advertising on our website/social media platforms?

Yes

PLEASE READ! You must arrive 5 minutes prior to the start time of the event. Children must have long hair tied back/plaited, and be wearing leggings with underarms covered. No jewellery to be worn. Please bring a water bottle. If your child is late and misses the warm up, they will be unable to participate. We discourage spectators as space is limited.

Confirm with your initials