Holiday Camp Registration Credit Card

Parent / Guardian Name*

First

Last

Home Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Home Phone*

Cell Phone*

Emergency Contact Name*

First

Last

Emergency Phone:*

Email*

Genesis Gymnastics Holiday Camp runs weekdays from December 26, 2022 to January 6, 2023. We are closed for statutory holidays. You may choose full days or half days in the morning or the afternoon, as well as before and after care as needed.

Rates:
Full day, 9am - 4pm: $58
Half day, 9am - 12pm or 1pm - 4pm: $40 per half day
Before Care is available 8am - 9am, $15
After Care is available 4pm - 6pm, $15 / hour.

Participant's Name*

First

Last

Participant's Date of Birth*

Participant's Gender*

Female

Male

Does the participant have any special needs, allergies or medications?

_______________________________

Please note you will be required to sign our Warranty And Consent Of Parent / Guardian, on your first day of camp. You may download and review it, CLICK HERE.

I understand that I will be required to sign a waiver form in order for my athlete to participate. All rules and regulations will be adhered to as Genesis Gymnastics needs. My email will also be added to their mailing list for future contact. I will pay in full via Cheque or Cash in the gym. *

I agree

Holiday Camp 2022 Registration – Credit Card Payment