ALTITUDE ABILITY

Parent / Guardian 1 *

First Name

Last Name

Parent / Guardian 2

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Alternate Contact: *

First Name

Last Name

Child's Name *

First Name

Last Name

Gender

Male

Female

Are they a new or returning Altitude member? *

New in 2023

Renewing From 2022

Previously attended in the past - prior to 2002

Support/Modification *

Does your child require support/modification in the following categories?

Intellectual

Autism

Sensory (hearing, sight)

Physical

Learning

Developmental

Mental Health

Behavioural

Gymnastic Australia - Demographic Data Gathering

For the purposes of data gathering only, Gymnastics Australia requests the following information Please tick if any applies – NB: you are under no obligation to answer any of the following.

Aboriginal

Torres Islander

Intellectual Disability

Physical Disability

Disability - Other

SOA Member

Agreement with Altitude Gym Sports *

By ticking I agree, and submitting this Registration form, you are agreeing to abide by Altitude Gym Sports, codes of behaviour, policies & waiver, and are acknowledging that you have read and understood the information contained within. You also must agree to the conditions outlined regarding Covid Safe and other transmissible diseases.

I agree

Please select preferred time

Currently only one class available, will be expanding soon.

Friday 4:15pm - 5:00pm