DECLARATION

In completing this form, I the parent/guardian of the aforementioned child, affirm that I have read this form in its entirety and I have answered the questions accurately and to the best of my knowledge.

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I understand that my child is responsible for monitoring him or herself throughout any activity, any should any unusual symptoms occur, would ease participation and inform the instructor.

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I understand that if my child is under the age of 5 years, I the parent/guardian am responsible for monitoring him or her within their activities.

In the event that medical clearance must be obtained before my child’s participation in an exercise session, i agree to contact the GP and obtain written permission prior to the commencement of the exercise activity, and that the permission be given to the instructor.

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I understand that if my child fails to behave in a manner that is polite and social, he or she could be suspended from that particular activity.