Team Camp for Levels 6 - 7 - 8 - 9 and Xcel Gold/Platinum/Diamond
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
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
I hereby agree that I will hold harmless Kansas City Gymnastics School and its instructors for any accident occurring during the camp*
I acknowledge that if my fee is not paid in full by the first day of camp, my card will be charged for the balance.*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*