Registration
A full week of Summer camp fun for your child! Camp hours are from 9:00 am to 5:30 pm. The price for full day is $200, if a sibling signs up also it is $180 per sibling. Your child will participate in crafts, puzzles, games, and of course gymnastics! Healthy snacks will be provided twice a day, but don't forget to send a bag lunch. Ages 3-12 are welcome. Your child must be potty trained to attend.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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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
 
Questions/Options:
What is your child's name and birthdate?*
I prefer to check out by; please choose a number: 1- Giving my name 2- Showing my ID*
You must bring a lunch, but we provide snacks, does your child have any allergies? Please list.
Do you give permission to administer Tylenol or Motrin (please specify) as needed, or no permission?*
List any medical conditions or behaviors we should be aware of.
List any medical conditions or behaviors we should be aware of.
 
Additional Information:
 
Waiver/Agreement
In consideration of the agreement of Kiki’s Gymnastics, to accept my child(ren) (hereinafter Participant) as a Participant in Kiki’s Gymnastics activities, the parent/guardian of said Participant, hereby states that they understand that any activity involving height, motion or rotation in a unique environment may cause the possibility of accidental injury, paralysis and even death. The undersigned voluntarily assumes the risk of such injury to Participant, him or her heirs, executors, successors and assigns from any and all liability, action, claims and causes of action whatsoever on account of or in any way related to the participation of Participant in Kiki’s Gymnastics activities and does hereby agree to fully indemnify and hold harmless Kiki’s Gymnastics for any medical expenses or other damages resulting from any such accidental injury to Participant while at Kiki’s Gymnastics, except where such expenses or damages are the result of intentional or reckless conduct of Kiki’s Gymnastics. This agreement and waiver having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip: