2024 Enrolment | Atomic Allstars

2024 Atomic Allstars Enrolment Form

Athlete Information

Athlete Full Name

Athlete Date of Birth (DD.MM.YYYY)

Athlete Residental Address

Athlete Suburb

Athlete Postcode

Primary Parent/Guardian Name (if under 18 years old)

Athlete Contact Number (or primary parent/guardian if under 18 years old)

Athlete Contact Email Address (or primary parent/guardian if under 18 years old)

Emergency Contact 1: Name/ Relationship/Contact Number (must be different than primary parent/guardian

Emergency Contact 2: Name/ Relationship/Contact Number (must be different than primary parent/guardian

Athlete Medical Information

Please enter your medicare number

Approx. athlete height (in cm)

Approx. athlete weight (in kg)

Do you have any pre-existing medical conditions that we should be aware of that may impact on your ability to participate in club activities, injury treatment or medication prescriptions?

Other pre-existing medical conditions

2024 Team Placement Acceptance

Direct Debit Arrangment

Terms and Conditions

I hereby acknowledge that I have read, understood & agree to all terms & conditions set out in this form by Atomic Allstars Cheer including my financial obligations as a customer, waiver/photo release terms & conditions

Your Signature

Thank you for completing your 2024 Enrolment at Atomic Allstars !