Disability Gymnastics Classification Certificate - Free Download
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Disability Gymnastics Classification Certificate
Disability Gymnastics Classification Certificate
1
Disability Gymnastics
Classification Certificate
For the gymnast:
I give permission for the following information to be disclosed to British Gymnastics staff and
volunteers where necessary, for the purposes of classification within British Gymnastics’ Disability
Gymnastics Competition.
Name of Gymnast: ______________________________________________________
Address: ______________________________________________________
______________________________________________________
Postcode: ________________
Signed : ________________________________Gymnast (if over 18yrs)
________________________________ Parent/Guardian (if under 18yrs)
Date: ________________________________
To be completed by the healthcare professional:
I confirm that the above named gymnast is a patient of mine and has a disability.
Please state the gymnast’s diagnosis __________________________________
The profile which best represents the gymnasts predominant impairment is;
(NB; if you have indicated that the gymnast has more than one impairment type in the gymnast classification
chart (page 3) and their impairment(s) can be defined by more than one profile group; please use the box
above to record the profile group that best defines their predominant disability.)
Name: ________________________________
Please state qualifications: ________________________________
Signed: ________________________________
Date: ________________________________
Practice Stamp
(or address & phone number)
P____
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