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Rebound Gymnastics

Gaelscoil Shliabh Rua

Ballyogan Road,

Co.Dublin

Waiting List for Rebound Gymnastics

Child's Name *

First Name

Last Name

Gender

Female

Male

Child's Date of Birth:

DD/MM/YYYY

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian phone number *

This number will be called in the case of emergency.

(###)

###

####

Parent's contact email address

This is the primary point of contact from Rebound Gymnastics.

Special Needs:

Does your child have any special needs or behavioural or emotional difficulties that you're aware of? Sharing these details with us allows us to best cater for your child's needs.

Medical Information:

Does your child have any medical condition that we would need to be aware of to offer them the best care and support in our classes:

Other Information/message:

Any additional comments you need to make.

Rebound Class

Which class are you interested in:

Shliabh Rua afterschool Class

Age 4-7 -Tuesday or Thursday

Age 4-7 - 3.30-4.20pm Tuesday only

Age 4-7 - 3.30-4.20pm Thursday only

Age 7+ - Tuesday or Thursday

Age 7+ - 4.30pm Tuesday only

Age 7+ - 4.30pm Thursday only

Age 8+ - 5.30pm Tuesday only

Age 8+ - 5.30pm Thursday only

Age 7+ Advanced (request a trial) - Thursday

Name of Parent/Guardian who signed & completed form:

Date

MM

DD

YYYY

Thank you for adding your child’s name to our waiting list . We will be in touch as soon as a place becomes available to you.

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