Start pole dance classes from 14 years old- Brisbane

Minor Consent Form

Are you under 18, but would love to enjoy the benefits of pole dancing? APFU caters to women 14 years and above!

Addictive Pole Fitness welcomes women or female-presenting individuals to participate in our studio pole dancing classes.

Parental or guardian consent is required for all participants between 14 and 17.

All parents or guardians will be contacted via telephone to confirm, prior to your first class.

Name

Name of person under the age of 18

First Name

Last Name

Date of Birth

YYYY

Parent or Guardian Name

Name of the person providing consent. This person must be the legal parent or guardian of the minor.

First Name

Last Name

Parent or Guardian Phone Number

(###)

###

####

Best Contact Time

Best time to call to confirm consent

Hour

Minute

Second

Terms & Conditions

- You provide consent for the minor to participate in classes at Addictive Pole Fitness. - The minor is at least 14 years of age. You have completed a Health Screen Form on their behalf. - You know that pole dancing is physically demanding, and specific risks are involved. - You are aware that the minor may be exposed to adult themes whilst undertaking classes at Addictive Pole Fitness. - Suppose the participant wishes to join Addictive Pole Fitness on a membership. In that case, memberships must be Pay In Full, or a parent or guardian will complete a Direct Debit Form in the studio on their behalf.

I hereby declare that I have read, understood and agree to the Terms & Conditions above

ADDICTIVE POLE FITNESS

POLE DANCING FOR YOU

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