Ingrid's Recreational Summer Camp Registration Form (Ages 4-15)
Our Recreational Summer Camp is so much fun! Gymnasts come to the gym for one week from 8:00-3:00 pm. Students practice gymnastics 3 hours a day and participate in other fun activities such as nature walks, swimming, fort-building, and art projects.

Dates: June 10th-14th
Times: 8:00 am - 3:00 pm
Price: $165 a week (you will receive a $10 discount if you have multiple children) (if attending for a few days instead of the entire week it is $33/day).

Email address *
Will your child be attending the full week or only a few days? *
If they are only attending part of the week, for which days?
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Gender *
Child's Age *
Your answer
Child's Gymnastics Level *
Child's Allergies or Health Concerns *
Your answer
Child's Medications *
Your answer
Mom's First Name *
Your answer
Mom's Last Name *
Your answer
Mom's Phone Number *
Your answer
Mom's email address *
Your answer
Dad's First Name *
Your answer
Dad's Last Name *
Your answer
Dad's Phone Number *
Your answer
Dad's Email Address *
Your answer
Address (please include zip code)
Your answer
People to whom child can be released: *
Your answer
People to whom child can be released phone number: *
Your answer
Emergency Contact First Name *
Your answer
Emergency Contact Last Name *
Your answer
Emergency Contact Phone Number *
Your answer
Health Insurance information (Company, Policy Holder, Contract #, Group #, Effective Date) *
Your answer
I fully understand that the nature of gymnastics involves jumping, twisting, flipping, landing, etc. Precautions are in place at the gymnasium to protect my child from injury but accidents, however rare, are possible. I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participating in gymnastics and that my child is healthy with no physical or mental disabilities that would restrict full participation in the activities of the gymnastics and cheer programs. In addition to giving my full consent for my child’s participation, I do hereby waive, release, and hold absolutely harmless Ingrid’s Gymnastics and Cheer, LLC and its coaches for any injury that may be suffered by my child, whether the result of negligence or any other cause. I understand that Ingrid’s Gymnastics and Cheer, LLC will not be liable in any way for medical, doctor, hospital, or dental expenses. It is my specific understanding by signing this document that all parents and guardians of my child will be giving up the right to all claims, suits, causes of actions, demands, monies, attorney’s fees and judgments. *
I (sign your name below) give my permission to Ms. Ingrid Pfau to authorize any emergency medical treatment that my child/ward may require during the 2019 gymnastics session. *
Your answer
Periodically Ingrid's Gymnastics will take pictures of the activities during Summer Camp. These pictures could be displayed on the website and our other social media platforms: Facebook and Instagram. Please check "yes" if you don't have an issue with us taking photos *
Please Sign this Form Electronically with your Initials and Full Name! *
Your answer
Thank your for registering your child! Payments are due no later than June 7th. Please pay at the gym office!
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