SECTION A: GYMNAST DATA (as in IC)

Kindly complete all sections of the forms formsPLEASE USE BLOCK LETTERS THROUGHOUT

SECTION B: SIBLINGS

Siblings applying into - or currently in - Sarina Rhythmic Gymnastics Club




SECTION C: PARENTS DATA

Father



Mother











Emergency Contact
(if persons listed above are not reachable in case of an emergency)

SECTION D: RHYTHMIC GYMNASTICS HISTORY

Current Club (if applicable and relevant)

Previous Club (if applicable and relevant)

YesNo
If YES, please give details
YesNo
If YES, please give details
YesNo
If YES, please give details
YesNo
If YES, please give details
YesNo
If YES, please give details






YesNo
If YES, please give details

SECTION E: HEALTH INFORMATION

YesNo
If YES, please give details
YesNo
If YES, please give details
YesNo
If YES, please give details

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