Summer Camp Registration 2020
COME JOIN THE FUN! Register here for or in-person camps at Buntyn Presbyterian Church! Camps for Boys & Girls ages 4 -14. Gymnastics Camp includes Floor, Bars, Beam, Vault, & Mini-tramp. Cheer Camp includes tumbling, building, cheer & dance basics. Tumbling Camp focuses on all beginning & intermediate front & back tumbling. All camps include stretches, aerobic dance/movement, obstacle courses, arts & crafts, games, & awards! Campers MUST bring a mask, a full water bottle and a snack from home. A welcome email with details will be sent the week before your camp start date.
Email address *
Camper's Name *
Camper's Age *
Choose Your Camp Group/Time *
Choose Your Camp Week *
Responsible Parent/Guardian Name *
Parent/Guardian Phone Number *
Alternate/Emergency Adult Name *
Alternate/Emergency Adult Phone Number *
List Your Camper's Medical Notes or Allergies *
I would be interested in purchasing a 2'x6', 2" thick work-out mat for $25.00 for home practice. *
My child is, to the best of my knowledge, physically fit and able to participate in this sport. Any known medical conditions or special circumstances are listed on this form (ex: asthma, allergies, recurring pain, etc…). I understand that certain personal injury risks are inherent to the participation of sport, including gymnastics. The student and the below signed accept and assume all risk of injury associated with participation as of the below date. I indemnify and hold Wings Gymnastics, its employees and instructors harmless regarding liability for any injury that my child may incur during the course of his/her participation in gymnastics class activities. If I am not available, I authorize Wings Gymnastics and its employees to seek attention for my child and to execute orders to authorize any emergency medical treatment and transportation which may be required. *
Required
My name below serves as my signature and certification that I am a legal guardian of the above listed camper and have carefully read and fully understand all provisions of this release, and freely and knowingly assume the risk and wave my rights concerning liability as described above. *
COVID-19 AWARENESS & WAIVER-The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious and is believed to spread mainly from person-to-person contact, contact with contaminated surfaces and in the air. The disease reportedly can be spread by individuals who are infected and show no symptoms. There is no treatment, vaccine or cure for COVID-19, which evidence shows the disease can cause serious life-threatening illness and even death.Wings Gymnastics, LLC (Wings) has put in place preventative measures to reduce the spread of COVID-19 (“The Wings SSS Plan”) and to enforce the Sanitization, Social Distancing and Safety of our participants. Wings Gymnastics, LLC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Furthermore, attending our in-person classes can increase your risk and your child(ren)’s risk of contracting COVID-19.******************************************************Assumption of Risk: I acknowledge the contagious nature of the coronavirus/COVID-19 and that the CDC and many local health authorities still recommend practicing social distancing. I voluntarily assume the the risk that my child(ren) and I may be exposed to or infected by COVID-19 while utilizing Wings’ services and that such exposure or infection may result in personal injury, illness, permanent disability and death. I understand that the risk of becoming exposed or infected by COVID-19 at Wings may result from the the actions, omissions, or negligence of myself and others, including but not limited to Wings’ employees, volunteers, program hosts and lessors, participants and their families.Waiver of lawsuit/Liability: I hereby forever release and waive my right to bring suit against Wings Gymnastics, LLC, its owners, employees, hosts and lessors, or any other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing Wings’ services and premises. I understand that I also waive my right to bring any claims including any injury to my child(ren) or myself (including but not limited to, personal injury, disability and death), illness, damage, loss of any kind, including but not limited to claims of negligence and claims of damage, whether known or unknown. ***************** I have carefully read and fully understand all provisions of this release, and freely and knowingly assume the risk and wave my rights concerning liability as described above. *
My name below serves as my signature and certification that I have carefully read and fully understand all provisions of the above COVID-19 release/waiver, and freely and knowingly assume the risk and wave my rights concerning liability as described above. *
Payment Type *
My name below verifies that I authorize Wings Gymnastics to charge the camp fee associated with my camp choice to my card/account on file with (no processing fee).
Anything additional you would like to share about your camper?
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