SUMMER CAMP ON-LINE REGISTRATION

Child's Name

Parent's Name

Age Birthdate

Home Address

Phone Email Address

Camp Week June 16-20 June 23-27 Jun 30-July 2 (3 day camp only) July 7-11 July 14-18 July 21-25 July 28-Aug 1 August 4-8 August 11-15 August 18-22

*-USAG Disclosure:
"By the very nature of the activity, gymnastics carries a risk of physical injury. The risks include minor injuries such as bruises and more serious injuries such as broken bones, dislocations and muscle pulls. The risk also include catastrophic injuries such as permanent paralysis or even death from landings or falls on the back, neck or head." check box to verify having read disclosure