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Serious Accident Form
PLEASE DO NOT FILL IN THIS FORM IF AN INCIDENT IS ONGOING. PAY FULL ATTENTION TO THE SITUATION AND RETURN TO THIS FORM LATER WHEN YOU ARE CALM AND ABLE TO FILL IT OUT THOROUGHLY **
This form is for reporting incidents that require more than basic first aid like plasters or ice packs.
Details
Student Name
(Required)
First
Last
Coaches Name
(Required)
First
Last
Date of Incident
(Required)
Month
Month
1
2
3
4
5
6
7
8
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11
12
Day
Day
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31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
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1937
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Time of Incident
(Required)
Time as near as possible to the incident taking place.
Hours
:
Minutes
AM
PM
AM/PM
Specifics of the Incident
Space where incident happened
(Required)
Tinies Studio
Cheer Gym
Dance Gym
Reception
Bathroom
Outside
Other
Specific location of incident
(Required)
Please point out the exact area (as close as possible) where the incident happened.
Contributing factors
(Required)
Please list any other facility, equipment or environmental factors that contributed to this incident
List any witnesses of the incident
Add
Remove
About the Injury
Injury Type
(Required)
Location of Injury on the Body
(Required)
Description of how the Injury Occurred
(Required)
Please describe in as short and precise way as possible how the injury happened.
Treatment
Where was the student treated for the injury?
(Required)
In the gym
At home
Walk-in/ Doctors
Hospital
Other
Was the parent called to pick up the student before the end of class?
(Required)
Yes
No
If 'No' was the parent informed at pick up?
Yes
No
Was a member of management team notified of the incident?
(Required)
Yes
No
Other
Thank you for sending the form.
We will check it and get back to you if we require further information.
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Superficial Accident Form
This form is for the reporting of minor injuries that require nothing more than a plaster, ice pack etc.
If the incident is more severe please use the other form.
**REMEMBER IF THE INCIDENT IS SEVERE PLEASE SEEK PROFESSIONAL ASSISTANCE**
Student Name
(Required)
First
Last
Coaches Name
(Required)
First
Last
Date of Incident
MM slash DD slash YYYY
Time of Incident
(Required)
Time as near as possible to the incident taking place.
Hours
:
Minutes
AM
PM
AM/PM
Space where the incident happened
(Required)
Tinies Studio
Cheer Gym
Dance Gym
Reception
Bathroom
Outside
Other (comment below)
Other place incident happened write here
Items given out
(Required)
Please indicate the items that where used to treat this incident
Antiseptic wipe
Plaster
Ice pack
Other (comment below)
Select All
Other items used please write below
Thank you for sending the form. We will check it and get back to you if we require further information.
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Clinic Booking Form
Parent/ Guardian Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Participants Name
(Required)
First
Last
Participants Age
(Required)
Clinic Options
(Required)
Select your clinic below - if you wish to select multiple clinics you will need to complete this form again. Please be aware that we reserve the right to move athletes around if they are not yet ready for the selected clinic.
Walkovers 1.30-2.45pm
BHS 101 - Starting Back Hand Springs 2.45-4pm
BHS 201 - Perfecting and Connecting BHS 4-5.15pm
Total Tucks - Starting front and back tucks 5.15-6.30pm
Scorpions/ Needles - 1.30-2.45pm
Turns in 2nd - 2.45-4pm
Pirouettes - 4-5.15pm
Participation Waiver
(Required)
I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion (such as tumbling and stunting) involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold Star Spirit Cheer and Dance or its employees responsible in the case of accident or injury as a result of this participation. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, manager or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.
I agree to the Participation Waiver
Total
Credit Card
(Required)
Card Details
Cardholder Name
×
Trial Class Form
Parent/ Guardian Name
(Required)
First
Last
Mobile Number
(Required)
Email Address
(Required)
Childs Name
(Required)
First
Last
Childs Date of Birth
(Required)
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Childs Age
(Required)
Please enter a number less than or equal to
30
.
Classes Age 6-10
Monday Fundamentals 4pm-5.30pm +£10.00
Tuesday Fundamentals 4pm-5.30pm +£10.00
Wednesday Fundamentals 4pm-5.30pm +£10.00
Thursday Fundamentals 4pm-5.30pm +£10.00
Classes Age 9-13
Wednesday Fundamentals 6pm-7.30pm +£10.00
Classes Age 6-9
Saturday Fundamentals 9.30am-11am +£10.00
Classes Age 8-11
Saturday Fundamentals 11am-12.30am +£10.00
Classes Age 3-6
Tinies Cheer and Tumble Monday 4.45 - 5.30pm+£7.00
Tinies Cheer and Tumble Wednesday 4 - 4.45pm +£7.00
Tinies Cheer and Tumble Wednesday 4.45 - 5.30pm +£7.00
Tinies Cheer and Tumble Thursday 4.30 - 5.15pm +£7.00
Tinies Cheer and Tumble Saturday 9.30 -10.15am +£7.00
Tinies Cheer and Tumble Saturday 11.45 -12.30pm +£7.00
Tinies Cheer and Tumble Saturday 12.30 - 1.15pm +£7.00
Classes Age 3-6
Tinies Pom and Hip Hop Thursday 5.15 - 6pm +£7
Tinies Pom and Hip Hop Saturday 10.15 - 11am +£7
Classes Age 7-11
Saturday Fundamentals Dance 12.30-2pm +£10
This field is hidden when viewing the form
Classes Age 12-18
Aerial Silks and Hoop Friday 5.30 - 6.30pm +£10.00
Date of Monday Trial
(Required)
4th September
11th September
18th September
25th September
Please choose the date of your trial
Date of Tuesday Trial
(Required)
5th September
12th September
19th September
26th September
Please choose the date of your trial
Date of Wednesday Trial
(Required)
6th September
13th September
20th September
27th September
Please choose the date of your trial
Date of Thursday Trial
(Required)
7th September
14th September
21st September
28th September
Please choose the date of your trial
This field is hidden when viewing the form
Date of Friday Trial
(Required)
9th June
16th June
23rd June
30th June
Please choose the date of your trial
Date of Saturday Trial
(Required)
9th September
16th September
23rd September
30th September
Please choose the date of your trial
Total
Payment Details
(Required)
Card Details
Cardholder Name
×
Events Booking
Parent/ Guardian Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Participants Name
(Required)
First
Last
Participants Age
(Required)
Product Name
(Required)
Star Spirit Athlete £7.00
None Star Spirit Athlete £10.00
Pick Open Gym Date
(Required)
June 25th 2pm - 4pm
Total
Participation Waiver
(Required)
I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion (such as tumbling and stunting) involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold Star Spirit Cheer and Dance or its employees responsible in the case of accident or injury as a result of this participation. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, manager or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.
I agree to the Participation Waiver
×
Quick Registration
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