Marsden Fit

Marsden Fit Juniors

Full Name of Child

First Name

Last Name

Date of Birth *

Gender *

Childs Phone Number (if one)

Please note any injuries, illnesses, disabilities, medications, allergies or any challenges that we may need to know about your child

Parent or Caregivers Full Name *

Parent or Caregivers Email *

Parent or Caregivers Phone Number *

Address*

Emergency name and phone number (if different from above)

What program do you choose for your child?*

I give consent to the use photographs and/or videos on Marsden Fit's website or in any editorial, promotional or advertising material produced and/or published by Marsden Fit*

Yes

I give consent to receive emails or text *

Yes

To be completed by a parent or caregiver.

I hereby acknowledge that:

The information provided above regarding my child’s health is, to the best of my knowledge, correct.
I will inform you immediately if there are any changes to the information provided above.
I give permission for my child to participate in Marsden Fit's activities.

Disclaimer: I acknowledge that participating in physical activity for my child carries a risk and I accept all responsibility for that risk. I undertake to indemnify management, employees and/or coaches against any claim arising out of any accident involving my child(ern) or any occurrence for this indemnify may give rise to a claim for damages.

I agree to the terms & conditions