Registration

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All Levels – All Ages Cost: $130 Camp Schedule: 10:00-2:00p (bring your lunch) January 4th @ PAX Gymnastics - Gymnastics rotations will be coached by our PAX Team Coaches and Rec coaches. January 5th @ Arctic Coliseum Ice Arena - Skating will be coached by Megan Salamon and the Chelsea Figure Skating Club Skaters. Camp fee must be paid in person at PAX Gymnastics or by calling PAX Gymnastics 734.562.2438 Register by December 18th to receive a free t-shirt. Registration will remain open until Jan. 4th.

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Family Information

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

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

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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):
	Primary Doctor:

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