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Queen Mode
Queen Mode

JOIN QUEEN MODE

Apply to Join Queen Mode

A parent or legal guardian must complete and authorise every application. An application does not guarantee placement until Queen Mode confirms the Queen’s squad, schedule and enrolment.

1. Queen details

Tell us about the Queen who will be training.

Queen Mode is for girls aged 12–17.

If applicable.

If applicable.

2. Parent / Legal Guardian

A parent or legal guardian must complete and authorise this application.

Digits, spaces, + ( ) or - only.

3. Attendance and authorised collection

Queen Mode releases a Queen only to a Parent or Guardian or person recorded as authorised, unless an alternative arrangement has been expressly confirmed. Families must promptly update collection, custody, access and emergency information.

Full policy: Attendance & Authorised Collection Policy.

Optional. Full name, relationship and mobile for each additional person.

Optional, but important. Tell Queen Mode about any court orders, access arrangements or people who must not collect the Queen.

May this Queen depart independently? required

Confirm in your own words that the Queen may leave unaccompanied. This and the following fields apply only if you chose “Yes” above. Required in that case.

4. Program and sign-up preference

Choose the age group, squad level and commitment that best fit.

Final squad placement may be determined by Queen Mode based on age, experience, ability, development needs and available places.

Age group required

Squad preference required

Preferred training frequency

Frequency aligns with the selected level (Rising 1, Development 2, Performance 3) and is a preference until placement is confirmed.

Preferred sign-up commitment required

Term or Year choice is a preference only. Dates, availability, total annual schedule and payment arrangements are confirmed separately.

5. Goals

What would you most like to achieve through Queen Mode?

Only if you chose “Other” above.

6. Sport and activity experience

Previous experience is not required and does not determine age group or squad placement by itself.

Does the Queen currently participate in any sports or physical activities? required

This and the following fields apply only if you chose “Yes” above.

7. Medical, emergency, health and safety

This information is collected to help Queen Mode provide a safe and appropriate training environment.

Queen and contact details from earlier sections are summarised here without duplicate entry. Check or correct them in 1. Queen details and 2. Parent / Legal Guardian.

Parents and Guardians are responsible for providing Queen Mode with accurate and current information relevant to the Queen’s ability to safely participate. Queen Mode should be notified promptly of any significant changes to the Queen’s health, circumstances or ability to participate.

Sensitive information is collected only to support safe participation, emergency response and enrolment administration. See the Privacy Policy.

Does the Queen have any medical condition, injury, physical limitation or other circumstance that may affect participation in physical activity? required

Only if you chose “Yes” above. Required in that case.

Does the Queen have any allergies that Queen Mode should be aware of? required

Only if you chose “Yes” above. Required in that case.

Is the Queen currently taking any medication that may be relevant to participation or emergency care? required

Only if you chose “Yes” above. Required in that case.

Are there any other health, safety, accessibility or wellbeing considerations Queen Mode should be aware of? required

Only if you chose “Yes” above. Required in that case.

Has the Queen been advised by a medical or health professional to restrict or modify physical activity? required

Only if you chose “Yes” above. Required in that case.

Conditions relevant to emergency care

Only if you chose “Other” above.

Name, where it is kept during sessions, and instructions for use.

Medical clearance

Queen Mode is not a medical provider and cannot determine whether a Queen is medically fit to participate. Where a relevant condition, injury, restriction, recent illness or other concern may affect safe participation, medical clearance may be required before participation.

I confirm that, based on the information available to me, the participant is medically cleared to participate subject to any conditions listed below.

Is a doctor’s certificate or medical clearance required? required

This and the following fields apply only if you chose “Yes” above.

There is no upload backend. Print/save the completed form and attach medical clearance outside the website.

8. Training and support

Queen Mode is committed to providing a professional, respectful and supportive environment.

Queens are expected to:

  • Treat coaches, staff and other Queens with respect.
  • Follow reasonable instructions and safety directions.
  • Participate appropriately and to the best of their ability.
  • Respect the privacy and personal boundaries of others.
  • Maintain appropriate behaviour throughout Queen Mode activities.
  • Follow the Queen Mode Code of Conduct.
  • Respect the Device-Free Zone during sessions.

Queen Mode Philosophy

Her phone can wait. Her success cannot.

Phones and personal devices are not to be used during Queen Mode sessions except where specifically authorised or required for an appropriate reason.

9. Policies and Acknowledgements

Each acknowledgement is recorded separately. Policy versions and effective dates are TBC until each document is issued; the printed copy carries the versions current at signing.

10. Communication

Queen Mode may communicate with Parents and Guardians regarding program information, training schedules, changes to sessions, attendance, administrative matters, program updates, important safety information and Queen progress where appropriate.

Preferred communication method required

Only if you chose “Other” above.

12. Emergency medical authorisation

In an emergency, Queen Mode will take reasonable steps to contact the Parent or Guardian or nominated emergency contact. Where immediate medical attention is reasonably considered necessary, I authorise Queen Mode staff to seek appropriate emergency medical assistance for the Queen.

13. Fees and payment

I understand that Queen Mode operates on a paid registration and training basis.

I acknowledge that:

  • Program fees are payable in accordance with the applicable Queen Mode pricing and payment terms.
  • Places may be limited.
  • Registration does not necessarily guarantee placement in a particular squad or session until confirmed by Queen Mode.
  • I am responsible for ensuring fees are paid by the applicable due date.
  • Queen Mode’s cancellation, withdrawal, refund and payment policies apply to my registration.

No payment is collected by this form. Rising is $50 per session, Development $60 per session and Performance $70 per session. Weekly and 10-week Term commitments depend on frequency. Places and schedules are not confirmed until Queen Mode accepts an application and confirms enrolment.

14. Declaration and signature

Parent or Guardian declaration

I declare that the information provided is accurate and complete to the best of my knowledge. I confirm that I am the Queen’s parent or legal guardian and have authority to provide consent for her to participate in Queen Mode. I understand that physical training involves inherent risks and that the Queen must follow reasonable safety instructions. I will notify Queen Mode if relevant information changes. I have read and agree to the applicable Queen Mode terms, policies and Codes of Conduct.

Queen declaration

I understand that Queen Mode is a place to learn, train, develop and grow. I agree to give my best effort, respect myself and others, listen to my coaches, take responsibility for my behaviour, support other Queens, respect the Queen Mode environment, follow the Queen Code of Conduct and keep my phone or device away during sessions unless authorised.

Signature lines are printed for signing by hand.

15. Review, print and save

Online submission is not active yet. The information you enter remains on this device. Use Print or Save Application to create a copy, then follow Queen Mode’s current contact instructions.

Direct email: maddison@queenmode.com.au

CONTACT US
CLEAR FORM

Clearing the form removes everything you have entered from this device. Continue?

Queen Mode use only

Application Date
 
Queen ID
 
Age Group (Sparks / Stars)
 
Squad (Rising / Development / Performance)
 
Training Frequency (1× / 2× / 3×)
 
Start Date
 
Approved By
 
Approval Date
 
Status
 
Notes
 
Policy-version acknowledgements