Presentation Day Permission Form

To be filled out by Parent / Guardian (one form for each child)

Child Name

Child Last Name

Has your child performed at an AOM Presentation Day before?

Child - Date of Birth

Day

Month

Year

Entry

Contact Email

To enter presentation day it is a £15 entry fee - then each additonal discipline is just £5 to enter / perform, if you do multiple classes or a mixed Aerial then you can enter in more than one discipline

Note:

Mixed Aerial Classes this year will be focusing on Aerial Trapeze, any mixed aerial student wishing to do more than one discipline then please additionally select Aerial Hoop and /or Sling

Development squad this year will be focusing on Aerial Sling, Tumbling and Circus - Ground Based - Students do not need to enter all three unless they would like too but we would expect a minimum of two discilpines for this class

Selecting an additional discipline is a request, not a confirmed entry. Coaches will review requests after sign-up closes. We’ll confirm your entries and fees before 24 October—please only pay for disciplines we’ve confirmed.

At this presentation day my child would like to enter: (Select more than one if your child would like to be entered for multiple disciplines and takes these classes, if you only do one class then only select that one)

Date Reminder - If you are in multiple disciplines you may need to attend at different times throughout the weekend. A reminder of our times are:

Saturday 28th November (Afternoon / evening) - Aerial Presentation
Sunday 29th November (Morning) - Circus Presentation
Sunday 29th November (Afternoon) - Gymnastics Presentation (Tumbling & Acro)

All fees are to be paid via BACS to the following account details:

Name on account: Academy Of Movement

Account Number: 49891812

Sort Code: 52 30 31

Bank: NatWest

Please put your Childs FULL NAME in the transaction reference when transferring funds

I understand that the entry free is non refundable

I understand that this is not a ‘drop and go’ event, and that a responsible adult will remain on site with my child(ren) when they are not performing therefore one adult audience ticket will need to be purchased

I agree to pay via BACs (my £15 entry fee and £5 for any additional entries)

Emergency Contact & Permissions

Emergency Contact First name

Emergency Contact Last name

Phone

Any medical information that you feel is appropriate

I can confirm that my child is fit & well enough to perform at the AOM presentation day

I give permission for my Childs name to appear in the Presentation Day Programme

I agree to my child being videoed / photographed at this event. I am aware that these may be used for promotional purposes.

Signature

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Academy Of Movement

Bury St Edmunds, IP32 7BS

Please complete the below form by: 17/10/2026

Presentation Day Permission Form

Entry

Emergency Contact & Permissions