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Kids KungFu Registration Form

Please complete the form below to confirm your child's/children's place in Kids KungFu at The Gym Howth:

Parent/Guardian

Children

Does your child have / ever had any health conditions. Asthma, Diabetes, Allergies etc? Is there any reason why any type of physical activity may not be suitable for your child.?

Emergency Contact

Consent

I the parent/guardian of the child named above give permission for him/her to participate in Kids KungFu and understand that The Gym Howth & Personal trainer taking the exercise sessions cannot be liable for any loss or personal injury.

I consent to my child (named above) to participation in Kids KungFu and understand the risks associated with exercise.

I give permission for my child/children to be photographed in their group whilst participating in the class for marketing purposes . Please tick/untick.

Yes

No

Thanks for submitting!

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