2021 Membership Form - GymSports FNQ @ South Cairns Gymnastics

Student Details

Student First Name *

Student Middle Name *

Student Surname *

Residential Address *

Residential Address

Street number and Name

Suburb

City

State

Postcode

Country

Date of Birth *

Day/Month/Year

Gender *

Female

Male

Are you of Aboriginal or Torres Strait Island descent? *

Yes

School Attending

Year / Grade Year / Grade

Parent Details

Parent Full Name *

Parent Occupation

Postal Address - if different from Residential

Street address or PO Box

Suburb

City

State

Postcode

Country

Email Address *

Parent Phone *

MobileMobile

Work Work

HomeHome

Emergency Contact (not parent or guardian listed above) *

NameName

PhonePhone

NameName

PhonePhone

Medical History

Please provide details of any medical, physical or intellectual condition that may have a bearing on your child's ability, safety or behaviour in class. *

Please type No if there is none

Is your child on any medication, which we should be aware of? *

Please type No if there is none

Does your child suffer from any allergies (ie.medical, bee sting etc?) *

Please type No if there is none

Does your child suffer from asthma? *

Yes

Yes, I give permission for my child to use/carry medication during classes

Gymnastics History

Has your child attended South Cairns Gymnastics before? *

Yes

If so, when?If so, when?

Has your child ever attended another gymnastics club? *

Yes

Name of club and last year at this clubName of club and last year at this club

Do you have any other children attending this gym? *

Yes

What is their name?What is their name?

Participation in gymnastics activities carries with it a reasonable assumption of risk

Terms and Conditions *

Yes, I am aware that Membership covers insurance with Gymnastics Australia and is a requirement for gymnastics participation

I give permission for my child to receive medical/ambulance assistance in case of emergency and agree to pay such costs incurred

I understand that I may access my child's personal information withheld by the club upon request

I understand formal registration policies are recorded and are available upon request

Information on this form is correct to the best of my knowledge, I undertake to advise SCG of any changes that may occur

I have read and understand this enrolment application and the below Roles and Responsibilities and agree to the terms and conditions stated therein

Roles and Responsibilities and Code of Conduct for Gymnasts *

ROLES & RESPONSIBILITIES
As a parent/guardian of an athlete/participant in any activity held by or under the auspices of Gymnastics Queensland, a member association or an affiliated club, you must meet the following requirements in regard to your conduct during any such activity or event:  
•	Respect the rights, dignity and worth of others. 
•	Remember that your child participates in sport for their own enjoyment, not yours. 
•	Focus on your child’s efforts and performance rather than winning or losing. 
•	Never ridicule or yell at your child and other children for making a mistake or losing a competition. 
•	Show appreciation for good performance and skillful plays by all athletes (including opposing athletes). 
•	Demonstrate a high degree of individual responsibility especially when dealing with or in the vicinity of persons under 18 years of age, as your words and actions are an example. 
•	Respect officials’ decisions and teach children to do likewise. 
•	Do not physically or verbally abuse or harass anyone associated with the sport (athlete, coach, umpire, administrator and so on). 
•	Respect the rights, dignity and worth of every young person regardless of their gender, ability, cultural background or religion. 
•	Be a positive role model. 
•	Understand the repercussions if you breach, or are aware of any breaches of, this code of conduct.
Furthermore, as South Cairns Gymnastics is a non-profit community organisation we heavily rely on the contributions of our volunteers.  We all know time is precious, but we encourage you to get involved in this fantastic club in one of the following ways:
•	Attend monthly meetings  / Become a committee member 
•	Attend working bees
•	Assist at club events – fundraising or competitions
•	Help with grant writing and Club 10
•	As your feedback is important to us, please take the time to complete surveys when they are distributed, or alternately write suggestions and place them in the suggestion box at the front desk.

CODE OF CONDUCT FOR GYMNASTS
As gymnasts who are a part of the South Cairns Gymnastics Team, we agree to:
•	Respect the rights, dignity and worth of fellow athletes, coaches, officials and spectators.
•	Not tolerate acts of aggression.
•	Respect the talent, potential and development of fellow athletes and competitors.
•	Care for and respect the equipment provided to us as part of our program.
•	Be frank and honest with our coach concerning illness and injury and our ability to train fully within the program requirements.
•	Speak up if we are worried or concerned about something
•	Not be a bully or accept any bullying we may see
•	Conduct ourselves in a professional manner relating to language, temper and punctuality.
•	Maintain high personal behaviour standards at all times.
•	Abide by the rules and respect the decision of the official, making all appeals through the formal process and respecting the final decision.
•	Be honest in our attitude and preparation to training. Work equally hard for ourselves and our team.
•	Cooperate with coaches and staff in development of programs to adequately prepare us for competition at the highest level.
•	Understand the repercussions if we breach, or are aware of any breaches of, this code of conduct.

CODE OF CONDUCT FOR JUNIOR GYMNASTS
This code of conduct has been developed for our gymnasts who are under 10 years of age and has been simplified for their understanding.We will:
•	Respect other children, young people and adults
•	Cooperate and play ‘by the rules’
•	Listen to and follow instructions
•	Control our temper
•	Speak up if we are worried or concerned about something
•	Not bully or accept bullying
•	Be honest and follow the rules of the South Cairns Gymnastics Incorporated
•	Cooperate with other athletes, coaches and volunteers

I give permission for my child to be photographed/videoed while participating in any club activities. I consent for the photo/video to be used for publicity if required (including through social media) *

Yes

Fees Policy *

I understand that Membership fees are due by the 3rd lesson attended

I accept that I must pay all class fees per term/monthly by the due date

I understand that a payment plan is available and that I must sign up if fees are not paid in full by the due date

I understand that if class/or membership fees have not been paid and there is no agreement or payment plan in place with GymSports FNQ for such payment, GymSports FNQ reserves the right to refuse entry to any gymnast until such fees have been paid in full

As we are a Not For Profit organization run by volunteers, are there any services that you as a parent/guardian could provide to improve our club?

I can help withI can help with

Privacy Act (2009)

I agree to be bound by the rules and policies of South Cairns Gymnastics Incorporated and GymSports FNQ *

Please insert full name

Date *

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Description	Joins Term 1	Joins Term 2	Joins Term 3	Joins Term 4
Competitive participant member	110	90	70	50
Non-competitive member (incl. Adult Class)	90	75	60	45
Non-Competitive member – Under 5’s Programs (KinderGym, MiniGym and JuniorGym) also over 50’s Programs (Fitter for Life)	65	60	50	40

GYMSPORTS FNQ

Student Details

Parent Details

Medical History

Gymnastics History

Participation in gymnastics activities carries with it a reasonable assumption of risk

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