April Showers Spring Camp 2019

1. Camper's Full Name (required)

Age (required)

2. Camper's Full Name

Age

3. Camper's Full Name

Age

4. Camper's Full Name

Age

Parent Name (required)

Phone Number (required)

Address

Email

Camp Dates, Prices & Times:

April 15th, 16th, 17th, 18th, and 19th
Full Day Camp: $60/day/child from 9am - 3pm
Half Day Morning Camp: $45/day/child from 9am - 12pm

Please select the attending campers and desired camp type for the listed dates below.

Full Week

Select Attending Campers

Select Camp Type

April 15th

Select Attending Campers

Select Camp Type

April 16th

Select Attending Campers

Select Camp Type

April 17th

Select Attending Campers

Select Camp Type

April 18th

Select Attending Campers

Select Camp Type

April 19th

Select Attending Campers

Select Camp Type

Discounts: Receive a $5 discount for siblings. Members receive $5 off.

Are you a member? Yes

Are the campers siblings?Yes

Some Camp Rules:

We provide them with a snack. We do not provide lunch. If your child is staying full day, please make sure that
you pack a lunch. Please pack a water bottle as well.
We provide extended care if you would like to sign up for that. Please inquire for more info. Pick up is from
2:45-3:00pm. Late pickups will be charged $5 per 10 minutes that they are late.
Your spot is not reserved until it is paid for. Payment is due in full when you sign up. No refunds will be
given once payment is made and spot is reserved. NO EXCEPTIONS!

Totals

Sibling Disc.: $
Member Disc.: $
Total Amount Due: $

Payment: Please select one

Paypal

I authorize Azarian Gymnastics or its authorized agent to consent to any medical treatment and/or hospital, which is
given to the child, listed on this form,under the supervision of a duly licensed physician or trained medical
personnel. Also, unless otherwise stated, I understand that my child will be participating in a gymnastics related
activity at Azarian Gymnastics. I understand that as with all physical activities, there is a chance for injury. I
therefore hold Azarian Gymnastics; its employees and its officers harmless should any injury occur. Azarian US Gymnastics, Inc.
does not provide care and well-being and will respectfully decline to complete your FSA form requesting out tax ID,
nor will it provide a filled out W-10 upon request.

I agree to allow Azarian Gymnastics to use photographs including the above named minor to be used for marketing purposes.

Today's Date:

April Showers Spring Camp 2019