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Evolution Cheer at EVOLVEkids is hosting cheerleading camps for 12-18 year olds on Wednesday, July 21st, 2021 and Wednesday, July 28th, 2021 from 1PM to 3PM, and an optional Hyperflex from 3PM to 4PM. The cost to attend 1 day is $25 and the cost to attend both days is $40 (the Hyperflex is included in both prices). Payment is due at time of camp.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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Family Information
First Name:
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Last Name:
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Type
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Caregiver
Father
Guardian
Mother
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Self
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Student Email:
School:
Grade Level:
preschool
kindergarten
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Disabilities (Leave blank if NONE):
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Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #2:
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
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Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Questions/Options:
My child/children will be attending the Cheerleading Camp on Wednesday, July 21st, 2021 from 1PM to 3PM with an optional Hyperflex session at 3PM.
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Yes
No
My child/children will be attending the Cheerleading Camp on Wednesday, July 28th, 2021 from 1PM to 3PM with an optional Hyperflex session at 3PM.
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Yes
No
I understand that if my child/children is attending one camp that the fee is $25 and that if they are attending both camps the fee is $40. All fees are due at camp; no discounts for multiple children.
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Yes
No
Additional Information:
Waiver of Liability
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I hereby certify that my child (children) has permission to participate in the recreational activities of gymnastics, tumbling, cheerleading, and other Cheerleading Camp related activities at EVOLVEkids. I understand there is risk of severe injury while participating in these activities and I hereby release and hold harmless EVOLVEkids Inc., and any EVOLVEkids Inc. staff member, employee, volunteer, and/or agent for any injury my child may sustain as a result of his/her participation in gymnastics, tumbling, cheerleading, and other Cheerleading Camp related activities at EVOLVEkids. I hereby agree that I am responsible for any and/or all hospitalization, medical emergency, or other medical treatment costs as a result of such injury by providing him/her with proper medical coverage, or I personally assume responsibility for such costs. In case of emergency, I hereby grant EVOLVEkids Inc., or any staff member, employee, or agent of EVOLVEkids Inc., the right to request medical attention for my child including calling medical professionals. I understand that EVOLVEkids Inc. and its staff will not assume guardianship of a child that is dropped off at the facility without a guardian and therefore it is my responsibility to care for and/or contact the child's guardian in the event that the child becomes ill or injured. I understand that EVOLVEkids Inc. reserves the right to cancel or reschedule Cheerleading Camp for legitimate purposes.
I've read the above and agree.
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