Waiting List Form

 
Full Name:  

 Date Of Birth (dd/mm/yy):

  
Phone Number:  

Mobile Number:

 
Address:   Email address :  
Any Disabilities?  Yes      No    
If Yes, give details:

 

    
Trampolined before? Yes       No   If Yes, are you: Beginner      Advanced  
Have you been a member of a trampoline club before? Yes        No    
If Yes, which club?    
Any other comments.
(Please include any days or times you are unable to make)