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Home
About Evolve
Our Coaches
Our Facility
Our Policies
CheerAbility
Customer Portal
FAQs
Contact
Blog
2020-2021 Casual Registration Form
1
Parent/Guardian Info
2
Medical & Emergency Contacts
3
Athlete Info
4
Contract
Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
Suburb
State
Postcode
Family Medical & Emergency Contact Information
What is your Medicare number?
Do you have private medical insurance?
YES
NO
If Yes, Provider Name and Membership #
Do you have Ambulance Cover?
*
Evolve All Stars do not supply ambulance cover. If injuries occur during training, the coach in charge will assess the athlete that is injured and the appropriate course of action will be taken. Parents will be contacted as appropriate. If deemed necessary, Evolve All Stars reserves the right to call an ambulance to ensure the safety and appropriate injury management of our athletes. Parents will be notified immediately if this occurs. Any associated charges with regard to an ambulance will be the responsibility of the athlete/parent.
YES
NO
Alternative Emergency Contact
*
First
Last
Emergency Contact Phone Number
*
Athlete Information
Athlete Name
*
First
Last
Date of Birth
*
DD slash MM slash YYYY
School
Year Level (Grade) 2021
e.g. prep
Do you have any medical conditions and are you taking any medications?
*
YES
NO
If yes please list medical conditions below:
Do you suffer from any allergies including food allergies, and if so are there any foods that may cause you to suffer an adverse medical reaction?
*
YES
NO
If yes please list allergies below:
Athlete's address same as above parent/guardian address?
*
YES
NO
If No, Athlete Address
Street Address
Suburb
State
Postcode
Are you a returning or new Evolve Athlete?
*
Returning Athlete
New Evolve Athlete
Cheered before
YES
NO
Contract with Evolve All Stars
*
I hereby authorise Evolve All Stars to use me/my child's name, photo and video image in all club materials Evolve All Stars see fit, including website, social media and print advertisements.
*
*
*
I have read and understood the
Code of Conduct
Code of Conduct and I / my child agree to uphold the standards contained within.
*
*
Parent/Guardian Name
*
First
Last
Signature
*
Date
*
DD slash MM slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
