Summer Camp 2022 Registration – Cheque or Cash Parent / Guardian Name*FirstLast Home Address Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Home Phone* Cell Phone* Emergency Contact Name*FirstLast Emergency Phone:* Email*Genesis Gymnastics Summer Camp runs weekdays from July 4, 2022 to September 2, 2022. 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, $260 (5 day week), $208 (4 day week) or $58 per day.Half day, 9am - 12pm or 1pm - 4pm, $180 (5 day week) or $144 (4 day week), or $40 per half day.Before Care is available 8am - 9am, $15After Care is available 4pm - 6pm, $15 / hour. Participant's Name*FirstLast Participant's Date of Birth* Participant's Gender*FemaleMale Does the participant have any special needs, allergies or medications?_______________________________ July 25 - 29 (5 Days)5 Full Days, 9am - 4pm, $260 + HST5 Half Days, Mornings 9am - 12pm, $180 + HST5 Half Days, Afternoons 1pm - 4pm, $180 + HST Please check if you would like before or after care (July 25 - 29). We'll follow up with you!Please contact me. Book individual days (July 25 - 29):Single Full Day, $58 + HSTSingle Half Day Morning, $40 + HSTSingle Half Day Afternoon, $40 + HSTQuantity Please select which individual days you would like (July 25 - 29):MondayTuesdayWednesdayThursdayFriday_______________________________ August 2 - 5 (4 Days, Closed August 1)4 Full Days, 9am - 4pm, $208 + HST4 Half Days, Mornings 9am - 12pm, $144 + HST4 Half Days, Afternoons 1pm - 4pm, $144 + HST Please check if you would like before or after care (August 2 - 5). We'll follow up with you!Please contact me. Book individual days (August 2 - 5):Single Full Day, $58 + HSTSingle Half Day Morning, $40 + HSTSingle Half Day Afternoon, $40 + HSTQuantity Please select which individual days you would like (August 2 - 5):TuesdayWednesdayThursdayFriday_______________________________ August 8 - 12 (5 Days)5 Full Days, 9am - 4pm, $260 + HST5 Half Days, Mornings 9am - 12pm, $180 + HST5 Half Days, Afternoons 1pm - 4pm, $180 + HST Please check if you would like before or after care (August 8 - 12). We'll follow up with you!Please contact me. Book individual days (August 8 - 12):Single Full Day, $58 + HSTSingle Half Day Morning, $40 + HSTSingle Half Day Afternoon, $40 + HSTQuantity Please select which individual days you would like (August 8 - 12):MondayTuesdayWednesdayThursdayFriday_______________________________ August 15 - 19 (5 Days)5 Full Days, 9am - 4pm, $260 + HST5 Half Days, Mornings 9am - 12pm, $180 + HST5 Half Days, Afternoons 1pm - 4pm, $180 + HST Please check if you would like before or after care (August 15 - 19). We'll follow up with you!Please contact me. Book individual days (August 15 - 19):Single Full Day, $58 + HSTSingle Half Day Morning, $40 + HSTSingle Half Day Afternoon, $40 + HSTQuantity Please select which individual days you would like (August 15 - 19):MondayTuesdayWednesdayThursdayFriday_______________________________ August 22 - 26 (5 Days)5 Full Days, 9am - 4pm, $260 + HST5 Half Days, Mornings 9am - 12pm, $180 + HST5 Half Days, Afternoons 1pm - 4pm, $180 + HST Please check if you would like before or after care (August 22 - 26). We'll follow up with you!Please contact me. Book individual days (August 22 - 26):Single Full Day, $58 + HSTSingle Half Day Morning, $40 + HSTSingle Half Day Afternoon, $40 + HSTQuantity Please select which individual days you would like (August 22 - 26):MondayTuesdayWednesdayThursdayFriday_______________________________ August 29 - September 2 (5 Days)5 Full Days, 9am - 4pm, $260 + HST5 Half Days, Mornings 9am - 12pm, $180 + HST5 Half Days, Afternoons 1pm - 4pm, $180 + HST Please check if you would like before or after care (August 29 - September 2). We'll follow up with you!Please contact me. Book individual days (August 29 - September 2):Single Full Day, $58 + HSTSingle Half Day Morning, $40 + HSTSingle Half Day Afternoon, $40 + HSTQuantity Please select which individual days you would like (August 29 - September 2):MondayTuesdayWednesdayThursdayFridayPlease 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 agreeSubmitReset
