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Summer Camp - Half Day-Morning: Our summer camp has six 1-week sessions and starts on July 9th and runs through August 17th. The camp is for boys and girls ages 5 to 13 and all activities are based upon the age of the child and level of ability. Camp tuition is payable by June 1st. Deposit of $100 is required at time of registration and is non-refundable. Select the session(s) you will be attending.
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
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
How old is your child?
Does your child take and medication, have any allergies or have any disabilities?
Is your child currently enrolled at Ziggy's?
Will you be utilizing the Late Pick Up Option?
Additional Information:
Assumption of Risk
In consideration of Ziggy's Gymnastics Academy allowing the gymnast to participate in sports activity, class, competition, team, including non-gymnastics activities such as dance, cheerleading, birthday parties, and playground activities (hereinafter referred to as the "Activity"), I, and if I am not yet 18 years old my parents or legal guardians, agree to be bound as follows (the term "I" in this release refers to both the gymnast and his or her parents or legal guardians):

I understand that the Activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by the gymnast's actions or inactions, those of others participating in the Activity, the conditions in which the Activity takes place, the negligence of the "Released Parties" named below, or other causes. I further understand that there may be other risks either not known to me or not readily foreseeable at this time. I fully accept and assume all such risks and all responsibility for losses, cost, and dam- ages that may result from the Activity. I hereby give my approval of and consent to the gymnast's participation in the Activity. I assume all risks and hazards incidental to the Activity and to transportation to and from the Activity.

I hereby release, acquit, covenant not to sue, and forever discharge Ziggy's Gymnastics Academy, its owners, officers, administrators, employees, agents, volunteers, sponsors, advertisers, coaches and supervisors, and the owners or lessors of any facilities within which the Activity is conducted, their respective agents and employees, and all other persons providing facilities or assisting in the conduct of the Activity and in the transportation of participants to and from the Activity (collectively the "Released Parties") of and from any and all actions, causes of action, claims, demands, liability, losses or damages of whatever name or nature, including but not limited to those arising from or in any way related to the negligence of any of the Released Parties, that arise out of or are connected in any way to the gymnast's participation in the Activity and the transportation of the above named gymnast to and from the Activity (collectively the "Released Claims").

I've read the above and agree.
Payment Policy
A $100 deposit payment is due at the time of registration and is non-refundable. I hereby authorize Ziggy's Gymnastics Academy to charge my bank, or credit card account for camp fees. This authorization is valid unless written cancellation is provided. I understand that payment charged at time of registration and is non-refundable. The payment for the camp session is due on or before June 1st and is non-refundable. The bank or credit card will be charged for camp tuition on June 1st unless the tuition has been pre-paid.
I've read the above and agree.
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