$0.00
Camper 1 Camper 2 Camper 3 Camper 4
Discounts: Receive a $5 discount for siblings. Members receive $5 off.
Some Camp Rules:
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Totals 1st Child: $ 2nd Child: $ 3rd Child: $ 4th Child: $ Number of Days Selected:
Sibling Disc.: $ Member Disc.: $ Total Amount Due: $
Payment: Please select one
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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.
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