Gobble Camp Registration 2018

Black Friday Gobble! Gobble! Camp 2018

Camp Dates : Friday, November 23

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

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.
• 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
1st Child: $
2nd Child: $
3rd Child: $
4th Child: $

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

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.