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Parent/Carer Name*

Email Address*

Phone Number*

Child's Name*


Child's year of birth*

Emergency Contact Name*

Emergency Contact Number*

Medical Information*

Covid 19 instructions and amendments to session structure*

Terms and Conditions*

Imagery consent*

Use of personal imagery (photography and film) and words

In order for Amy's Acro Ltd to comply with data protection and confidentiality regulations, it is necessary to obtain your written consent to use your image or words in our publications.

You should only agree to Amy's Acro Ltd using your photograph, film/video or words if you feel completely happy. You should not sign this consent form if you feel under any pressure or obligation to do so.

How we may use your photograph, film and words:

Amy's Acro Ltd may use your photograph, film/video and words for the purposes of promotion, education and development of the club/sport e.g. to publicise the club, events, in newspaper articles, magazines and other media such as websites, leaflets, electronic newsletters, social media and presentations.

What if I change my mind?

Once an article or image is published and in circulation (e.g. newsletters, website images) it can be copied and used by others. However, you can contact Amy's Acro Ltd at any point and ask us not to use your image or words for any new purposes. We will comply with this request and will also do our best to stop others using your image or words, although we cannot guarantee this. Please note that we will be unable to remove images that have already been used in publications or publicity material.

Please fill in this form to enrol your child.

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