Registration

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Camp Schedule: Monday - Friday, 9am - 3pm Optional Early Drop-Off: 8am for an additional $10.00 Optional Late Pickup: 4pm for an additional $10.00 Summer camp will include a variety of activities. Gymnastics, free play, obstacle courses, relay races, games, and crafts Please bring a lunch, snacks, water bottle. Regular gymnastics classes are available all year long.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Questions/Options:


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Are you planning to add early drop off (8am) or late pick up (4pm)? If so, please add more detail.

Additional Information:

Length of Camp/What to bring

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Payment Information

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Behavior Expectations

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