Circus Registration Form (DEBIT ONLY)

Term 2: 11 May - 13 July

CLASS SELECTION

Wednesday Location: Appolohal
*I hereby give permission for my child’s photo to be used for promotional/marketing purposes on behalf of Little Star Fitness, including printed matter and Little Star Fitness website and Facebook Page.
I hereby I wish that my child participate in activities offered by Little Star Fitness NL (LSF). During the activities at LSF, participants will be involved in some or all of the following: sporting activities, dance, cheer, hands on learning of juggling and prop manipulations arts, tightrope, trapeze, aerial silks, floor gymnastics, human pyramids and other similar activities. At Little Star Fitness NL, we prioritise safety for our students. Skills are taught progressively, and aerial equipment is kept closer to the ground until the student is ready to go higher. The chance of injury is low. However, like any physical activity, there is the chance of getting hurt, falling or straining a muscle are the main risks, though more serious injuries could happen.
I acknowledge that I understand there is a risk of injury and I accept the risks and would like my child to participate in the activities. I understand that it is my responsibility to consult with a physician prior to and regarding any participation in these activities especially if health issues are a concern. I attest that my child is physically fit and has no medical conditions that would prevent their participation in these activities. I agree to assume full responsibility for any risks, injuries or damages, which I might incur as a result of participating in these activities. I agree to inform the instructor(s) or staff of Little Star Fitness NL of any physical limitations, physical discomforts and/or injuries, and I take full responsibility for nondisclosure. In further consideration to participate in these activities, I knowingly, voluntarily and expressly waive any claim I may have against Little Star Fitness NL, the coaches, the directors, and volunteers, for injury or damages that my child may sustain as a result of participating in these activities.
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ABOUT US

Little Star Fitness provides a number of fun and innovative programs such as, sport, circus, fitness, aerial silks, cheerleading, dance, birthday party’s and holiday camps. These classes are specifically designed for children between the ages of 2-12

CONTACT

Phone: 0611076992 (9am-5pm)

Email: info@littlestarfitness.com

kvk-nr: 81427107

BTW-nr: NL003561919B41