Membership form Registration formPlease enable JavaScript in your browser to complete this form.Gymnast name *FirstLastDate of birth Gender *FemaleMaleEthnicity *NZ EuropeanNZ MaoriAsianPacific IslanderOtherSchool or ECESpecial requirements eg. disabilitiesParent/Caregiver Name *FirstLastEmail *Phone Number *Additional Phone NumberHome Address *Emergency contact #1 - Full Name *FirstLastEmergency contact #1 - Phone Number *Emergency contact #1 - Relationship *Emergency contact #2 - Full Name *FirstLastEmergency contact #2 - Phone Number *Emergency contact #2 - Relationship *I agree that Gymnastics NZ or my Club may contact me from time to time to provide me with information about the products and services of my Club or Gymnastics NZ sponsors or funders *YesNoSelect Your Class *GFA 5-8yrs (girls) Mon 3.30-4.30pm - $156.00GFA 5-8yrs (boys) Mon 3.30-4.30pm - $156.00GFA 8-9yrs (girls) Mon 3.30-5pm - $187.00GFA 5-8yrs (girls) Tues 3.30-4.30pm - $156.00GFA 5-8yrs (boys) Tues 3.30-4.30pm - $156.00GFA 10yrs+ (girls) Tues 4.30-6pm - $187.00GFA Advanced 10yrs+ (girls) Tues 4.30-6:30pm - $208.00GFA 8-9yrs (girls) Tues 3.30-5pm - $187.00GFA 5-8yrs (girls) Wed 3.30-4.30pm - $156.00GFA 8-9yrs (girls) Wed 3.30-5pm - $187.00GFA 10yrs+ (girls) Wed 4.30-6pm - $187.00GFA Advanced 10yrs+ (girls) Wed 4.30-6:30pm - $208.00GFA 5-8yrs (girls) Fri 3.30-4.30pm - $156.00Competitive. (See invoice for cost) - $0.00Fees are per school term Van Connect Service (Kerikeri Primary- Kerikeri Gymnastics Club)Monday - $30.00Tuesday - $30.00Wednesday - $30.00Thursday - $30.00Friday - $30.00That's just $3 a pickup *Spaces are limited. There is 2 van runs each day at 2:55 and 3:10. Depending on numbers your child may be on the second run. Gymnastics NZ Membership Fee *Each term GNZ charges all members an affiliation fee which is passed on via the club. This is a compulsory fee of which the club has no say - $11.00Donations-All Proceeds go to the continuation of the clubDonation of - $2.00Donation of - $5.00Bronze - $10.00Silver - $20.00Gold - $50.00Send a coach on a course - $100.00Thankyou for your Support.I agree with the Membership Declaration (please read below this form before agreeing) *YesThe Caregiver/ Guardian will be contacted immediately to come and pick the child up if: gross misconduct that’s harmful or dangerous to other children / staff, or continual disobedience that’s harmful or dangerous to other children/ staff, or behavior that’s likely to cause serious harm to his/herself, other children, or staff. I have acknowledged and understood the above safeguarding procedures. Registration and attendance of classes is considered to be entering an Agreement with Kerikeri Gymnastics and a commitment to payment of fees. Payment is required in FULL before classes commence unless arrangements have been made through the Office. *YesTotal$0.00Your placement in your selected class is only confirmed once payment has been received. Contact us for a payment plan if needed.Submit