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Academy Of Movement
1A Boldero Road, Bury St Edmunds, IP32 7BS
info@academyofmovement.co.uk
07934954741
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Free Practice / Open Gym
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Please complete the below form by: 20/04/24
Presentation Day Permission Form
To be filled out by parent (one form for each child)
Childs Details:
Childs First Name
Childs Last Name
Date of birth
Email
EMERGENCY CONTACT DETAILS:
Contact First Name
Contact Last Name
Contact Phone Number
Any Medical infomation that you feel is appropriate
I confirm that my child is fit and well enough to take part in the presentation day
I give permisson for my childs name to be used in the presentation day programme
I agree to my child being videoed and photographed. I am aware that this may be used for promotional purposes
Choose an option
By ticking this I understand that my childs routines will be judged on the day and any decision made by AOM or the judging panel is final
I understand and accept that the presentation day fee is non-refundable
Your Signature
Clear
Submit
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