Acro-Airs Cheer & Tumble Summer Camp Registration
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Age During Camp *
Your answer
Which week will your child be attending? *
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Email Address (this is how we communicate most) *
Your answer
Parent/Guardian 1 Cell Phone Number *
Your answer
Parent/Guardian 2 Contact (email and/or phone number) *
Your answer
Would you like texts for reminders/changes? *
Additional Authorized Guardians for Pick Up with Phone Numbers (IDs required for pick up) *
Your answer
Are you interested in before/after care? *
Is the student allowed to walk or drive themselves home? *
Please specify a T-shirt size *
Please indicate the camper's level of experience *
Required
Consent for Medical Treatment: As the parent, agency representative or legal guardian, I hereby give consent to Acro-Airs Cheer and Tumble Camp LLC to provide all emergency medical or dental care prescribed by a duly licensed physician (M.D.) or dentist (D.D.S.) for this student. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. I consent by signing my name below. *
Your answer
Waiver of Liability: Physical activity is not without risk. Even when all the "rules" are followed to the letter, injuries and accidents can occur. That's the nature of physical activities and life. Kids' activities and sports, no matter how comprehensive, can never cover every angle and every individual's unique makeup, previous history and current situation. The activities and exercises to be conducted at Acro-Airs Cheer and Tumble Camp LLC (ACTC) assume children are in good health and are capable of conducting physical activities. Please keep in mind that all children develop at different rates and care takers and/or parents should be aware of these issues on an individual basis. The managing members at ACTC have made their best effort to produce a safe, fun and high quality entertaining service and environment and they make no representation or warranties of any kind with regards to the safety of the activities at ACTC. The managing members of ACTC accept no liability of any kind for losses or damages caused or alleged to be caused directly or indirectly at ACTC. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all of the above Releasees from all liabilities incident to my involvement or participation in this summer camp, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by the law. I am fully aware that: 1. Gymnastics/Acro/Cheerleading, with maneuvers involving body motion, rotation and height, creates an increased risk for severe head, neck or spinal injuries and death. 2. The social and economic losses and/or damages, which could result from those risks and dangers described above, could be severe. *
Please sign and date *
Your answer
Payment Options (Early Registration by May 1 - $175; Early Registration by June 1 - $200; Regular Registration after June 1 - $225) *
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