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RM_Stats

First Name^*
Last Name^*
Date of Birth^*
Gender^*

Email^*
Mobile Number^*
Address^*

Street Address

City

State

Zip Code

Country

Name of School^*
Year in School^*
Home School / Employment^*

Emergency Contact 1^*
Relation^*
Title^*
First Name^*
Last Name^*
Mobile Number^*
Email^*

Emergency Contact 2^*
Relation^*
Title^*
First Name^*
Last Name^*
Mobile Number^*
Email^*

Do you have a disability?^*
If Yes, Please State
Have got a medical condition?^*
If Yes, Please State
Severity of Medical Condition^*
Please select an option between 1 and 10: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 State the severity of your medical condition so we can know how to adequately respond: Key: 1 to 4 = low 5 to 10 = high / requires immediate assistance
Do you carry medication?^*
If Yes, Please State

Equal Opportunity Data^*
I Accept
EQUAL OPPORTUNITIES DATA: The Academy has a policy of equal opportunities and anti-racism, aimed at treating everybody fairly irrespective of race, colour or national origin. Please pick the relevant box below to indicate the group to which you belong. Information will be treated in the strictest confidence and used only for statistical monitoring.
Ethnicity^*
EQUAL OPPORTUNITIES DATA: The Academy has a policy of equal opportunities and anti-racism, aimed at treating everybody fairly irrespective of race, colour or national origin. Please pick the relevant box below to indicate the group to which you belong. Information will be treated in the strictest confidence and used only for statistical monitoring.
Parent Volunteers^*
I Accept
PARENT VOLUNTEERS: From time to time parents volunteer their time to assist with events, competitions and administration support. If you would like to volunteer with us please go to our registration form for volunteers. Parents who volunteer their time and skills would be mentioned in our monthly newsletters as a thank you for supporting Track Academy.

Quarterly Payments^*
Yes, I agree.
All payments are made in advance on a quarterly basis. Please log into your account on our website to ensure your payment details are up to date. Billing Periods: Q1: January-March - Payment Due on 1st Jan Q2: April-June - Payment Due on 1st Jan Q3: July-September - Payment Due on 1st July Q4: October-December - Payment Due on 1st Oct
Registration Fee^*
Multi Skill Sessions - Once a Week - Quarterly Fee (£ 25)

Multi Skill Sessions - Twice a Week - Quarterly Fee (£ 45)

Track & Field Sessions - Once a Week - Quarterly Fee (£ 30)

Track & Field Sessions - Three Times a Week - Quarterly Fee (£ 50)

Agree to Refund Policy^*
Yes, I agree.
By signing up, submitting this form and making a payment, the entrant is indicating his/her agreement to be bound by our non-refundable and cancellation policy. This policy defines how to handle cancellations. Please note, if cancelled, modified or in case of no-show, the total price of the reservation will be charged.
Agree to Terms^*
Yes, I agree.
By ticking this box you agree to our terms and conditions. PHOTOGRAPY I understand that photographs in which my child / children or I feature, or written words about, them or me, may be posted on websites, in the press or used in other ways with reference to participation in Track Academy activities, unless I have given prior notification in writing to Track Academy. MENTORING AND EDUCATION Track Academy are an Educational, Mentoring and Sport programme, and therefore reserves the right to manage and action necessary steps to ensure you - the student athlete, receives all educational and mentoring support necessary to ensure their continued participation at Track Academy. This includes, but not limited, to receiving school reports, attending revision classes, inquiring about the athlete’s general wellbeing and arranging suitable mentors where appropriate. We agree to comply with all codes of conduct, policies and procedures of Track Academy. All personal information will be held for Academy purposes only. COMMUNICATION Please be aware for health and safety Track Academy communicate in English only. PARENT VOLUNTEERS From time to time parents volunteer their time to assist with events, competitions and administration support. If you would like to volunteer with us please go to our registration form for volunteers. Parents who volunteer their time and skills would be mentioned in our monthly newsletters as a thank you for supporting Track Academy.

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