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RHYTHMIC CHANTILLY HOLIDAY CAMP:
From 9:30am to 1:30pm
Facility Address:
(Phoenix Elite Cheer and Dance) – 14807 L Willard Road, Chantilly VA 20151)
*Athletes must bring their own lunch and snack.
**IF REGISTERING FOR BOTH DAYS, DISCOUNT WILL ONLY APPLY AFTER ONLINE REGISTRATION IS SUBMITTED.
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Family Information |
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Students entered below will be added to your family's account
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PAYMENT POLICY
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PAYMENT POLICY: Please read carefully THERE ARE NO REFUNDS AND NO CREDITS. In order to hold your child's spot, a online pre registration must be submitted no later than December 27th. Cash, Check, Visa, Mastercard, Discover accepted. There is a $25.00 charge for returned checks and credit card declined. I UNDERSTAND THERE IS NO CREDITS OR REFUNDS AFTER DECEMBER 27th 2017.
I've read the above and agree.
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MEDICAL RELEASE AGREEMENT AND PARENTAL CONSENT
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STUDENT ARE EXPECTED TO CARRY THEIR OWN INSURANCE. THE ABOVE NAMED STUDENT HAS HAD A MEDICAL EXAMINATION WITHIN THE LAST TWELVE MONTHS AND IS CAPABLE OF PARTICIPATING IN THE SPORT OF GYMNASTICS. I AGREE TO COMPLETE A HEALTH HISTORY FORM. WARNING BY THE VERY NATURE OF THE ACTIVITY, GYMNASTICS CARRIES A RIK F PHYSICAL INJURY. COACHES AND INSTRUCTORS OF GYMNASTICS WORLD ARE SAFETY CONSCIOUS AND FOLLOW APPROPRIATE SAFETY PROCEDURES. IN THE EVENT OF INJURY OR ILLNESS, EVERY EFFORT WILL BE MADE TO CONTACT THE PARENTS OR GUARDIAN. IF NECESSARY, I AUTHORIZE GYMNASTICS WORLD TO ADMINISTER FIRST AID AND/OR AUTHORIZE MEDICAL TREATMENT IS THIS BECOMES NECESSARY.
I've read the above and agree.
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Zip:*
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