Registration

Team Camp for Levels 6 - 7 - 8 - 9 and Xcel Gold/Platinum/Diamond

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

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:


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: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*