Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp

Size: px
Start display at page:

Download "Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp"

Transcription

1 Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp

2 Contents Here s To A Great Winter! Theme Weeks Program Fees/Camp Details & Check In and Out Procedures Payment Policies Transportation/Field Trip & Camp Participation Permission Form Registration Form Liability Risk Waiver Dear Parent, HERE S TO A GREAT WINTER! First and foremost, please know that we consider it the highest form of compliment that you are entrusting your child to our care. We are looking forward to a fantastic Winter with your child! We are confident that this will be an awesome Winter of physical fitness, confidence building, friendship, and of course gymnastics for your child. We would like to take this opportunity to tell you just a little about our activities this Winter. Our seasoned staff is dedicated to making your child s Winter something out of the ordinary in our 12,040 sq. ft. facility! We have chosen a theme for each week of camp offered this Winter and each activity your child participates in will be geared around that theme - everything from group games to arts and crafts, cooking, and field trips. Our awesome field trips include the Palm Beach Zoo, Museum of Discovery & Science, Holiday Park, Sparze Bowling, CB Smith Water Park, Kabooms, as well as other fun destinations. In addition to these amazing trips, By taking a few moments to review the information in this packet you will have a better understanding of Coral Reef and its policies and procedures thereby ensuring that we get off to a great start. Please complete the last three pages to register. Thank you in advance for observing our policies and we look forward to helping make this one of the best Winters ever for your child! Gymnastically Yours, CRG Staff

3 PROGRAM FEES / CAMP DETAILS REGISTRATION FEE: $25.00 (includes one camp t-shirt) PROGRAM FEES: Early Drop Off - $5.00 per day (7:30-8:30 a.m.) Late Pick Up - $5.00 per day (5-6 pm) or $15.00 per week $45.00 daily Drop-I n rate applies without advance reservations, $35 with paid in advance reservation. $150 Weekly Early Paid reservation $175 Drop In Weekly. Field Trips are additional! Drop-ins on a field trip day will include an additional cost for trip. *Please note that if you arrive later than 5:15 p.m. there will be a strictly enforced $10.00 charge for every 15 minutes starting at 5:15 p.m. until pick up. If you are part of the Late Pick Up program and you arrive later than 6:15 p.m. there will be a strictly enforced $10.00 charge for every 15 minutes starting at 5:15 p.m. until pick up. CAMP DETAILS : Full day camp from 8:30 a.m. to 5:00 p.m. Sibling discount only apply to 5 full day reservations. Coral Reef welcomes children from ages Upon paying your registration fee your child will receive a Coral Reef Day Camp Tee Shirt to be worn on all field trips. Lunch & snacks will not be provided; however, you may leave money in an account at our snack shoppe for your child to purchase food. Check In And Out Procedures It is required that your child be SIGNED IN & OUT each day. In the morning, please sign your child In, at the front desk. Your child may then enter the gym and join their group. If another adult other than a parent or legal guardian is picking up, we require that they be an authorized person listed on your child s registration form. Any deviation from routine pickup or persons not listed on the registration form (i.e., a visiting relative, friend, etc.) must be indicated in writing by the parent or legal guardian and given to administrative staff at the front desk so that we can communicate this to the appropriate day camp counselor. Please make sure that anyone picking up your child has ID with them. Your cooperation concerning this procedure will help ensure the safety of your child.

4 PAYMENT POLICIES / TERMS The camp fees listed on the previous page are for advance reservations. In order to take advantage of these rates, we require a 5 business day notice to make any changes to your reservations. If this is not received, a drop in fee of $45 per day will be charged. If you drop-in on a field trip day, there will be an additional charge for the trip. You may transfer reserved days if we are given a 5 business day notice and subject to availability. If we are not notified 5 business days in advance, you will be charged for your reservation. Payment for all reserved dates are due upon registration. The deposit collected is NON-REFUNDABLE. YOUR DEPOSIT WILL NOT BE REFUNDED. ABSOLUTELY NO EXCEPTIONS WILL BE MADE and NO REFUNDS will be given for missed days/weeks or cancellations. Don t forget to enroll in a Winter gymnastics or tumbling class at the end of Winter Camp so you can keep in touch with your Coral Reef buds all year long! Registration starts January 7 th and classes begin January 7, Coral Reef also has an awesome After School Program that picks up from Chapel Trail, Country Isles, Dolphin Bay, Eagle Point, Everglades, Falcon Cove, Franklin Academy, FSU Charter, Glades, Hawkes Bluff, Imagine Charter, Manatee Bay, Panther Run, Pines Charter, Montessori Academy, Silver Lakes, Silver Palms, Silver Shores, Silver Trail, Somerset Academy, and Sunset Lakes!

5 CORAL REEF GYMNASTICS & CHEER 2015 DAY CAMP TRANSPORTATION / FIELD TRIP PERMISSION I authorize EVERGLADES GYMNASTICS INC, DBA CORAL REEF GYMNASTICS & CHEER to transport my child on the Coral Reef Bus to Coral Reef Winter Day Camp sponsored field trips. Parent Signature Date Permission to participate in Coral Reef Winter Camp & Activities As parent/legal guardian of, I hereby consent to the aforementioned child to participate in CORAL REEF Gymnastic programs. I recognize that potentially severe injuries, including permanent paralysis or death can occur in any activity involving height or motion, including gymnastics. I also realize that my child will be performing and training on all gymnastics events plus other various training device including trampoline. I understand that it is the express intent of EVERGLADES GYMNASTICS INC, DBA CORAL REEF GYMNASTICS & CHEER to provide for the safety and protection of my child and in consideration for allowing my child to use the facilities, I hereby release EVERGLADES GYMNASTICS INC, DBA CORAL REEF GYMNASTICS & CHEER, its officers, employees, teachers and coaches from all liability for any and all damages and/or injuries suffered by my child while under the instruction or supervision of EVERGLADES GYMNASTICS INC, DBA CORAL REEF GYMNASTICS & CHEER. In the event of a medical emergency, if I am not available, I authorize anyone employed by CORAL REEF Gymnastics to seek medical attention for my child,, and to execute consent orders to authorize emergency medical treatment for any medical procedures, which may be required. This acknowledgement of risk, waiver of liability and medical release having been read thoroughly and understood completely, is signed voluntarily as to its content and intent. Parent Signature Date RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ( AGREEMENT ) In consideration of participating in the EVERGLADES GYMNASTICS INC, DBA CORAL REEF GYMNASTICS & CHEER Winter Camp, I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the Activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the releasees named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity. I hereby release, discharge, and covenant not to sue EVERGLADES GYMNASTICS INC, DBA CORAL REEF GYMNASTICS CHEER, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the RELEASEES herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which may incur as the result of such claim. I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance or any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. Date: Printed name of participant Signature of participant PARENTAL CONSENT AND I, the minor s parent and/or legal guardian, understand the nature of the above referenced activities and the Minor s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releases from all liability, claims, demands, losses or damages on the minor s account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor s behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as the result of any such claim. Date: Signature of Parent/or Legal Guardian

6 Child s Information Name: Sex: M / F Age: DOB: / / Parent 1 Name: Parent 2 Name: _ Address: City: ST: ZIP: Home Ph#: Parent 1 Work Ph#: Parent 1 Cell Ph#: Parent 2 Work Ph#: Parent 2 Cell Ph#: Address: Alternative Contact Person: Emergency Ph#: Are there any medical conditions/allergies to which we should be alerted? _ Yes _ No Please Specify: Is your child currently enrolled in classes / team program at CORAL REEF? _ Yes _ No Please Specify Day(s) / Times(s): I understand that it is the intent of CORAL REEF Gymnastics to provide for the safety and protection of my child; therefore, if I am not available, I authorize CORAL REEF and its employees/contractors to seek attention for my child and to execute orders to authorize emergency medical treatment which may be required. Persons Authorized to Pick-up Name: Ph#: Name: Ph#: Name: Ph#: Name: Ph#: Selected Weeks _ Camp Hours: 8:30 a.m. to 5:00 p.m. 8/ 5/ /3/ /12/ /28/ /8/ /11/ /23/2016 _ Early Reg $35 _ Drop In $45 12/26-30/2016 _ Early Reg $150 _ Drop in $175 Daily 1/2-6/2017 _ Early Reg $150 _ Drop in $175 Daily 1/13/2017 1/16/2017 _Early Reg $35 2/20/2017 3/24/2017 4/10-14/2017 5/4/2017 _ Early Reg $150 _Early Ref $35 _ Drop In $175 _ Drop In $45 Daily 5/29/2017 Payment Information Camp Registration Fee - $25 Member: _ Yes _ No $ Early Registration ($35 Daily) Dates: $ _ Yes, I will need early drop-off X days $ Drop In : Date(s) _ Yes, I will need late pick up X days $ FOR OFFICE USE Form of Pmt.: _ Credit Card _ Check # _ Cash $ TOTAL Guaranteed Form of Payment (REQUIRED) Card Holder Name: Card Type: Credit Card #: Expiration Date: Billing Address & Zip Code (if different from Client): I fully understand the CORAL REEF Gymnastics Winter Camp Payment Policies of which I am in receipt; therefore, I hereby authorize CORAL REEF Gymnastics to prepare and submit credit charge slips each Thursday prior to my subsequent week s reservation for the weekly amount due. Furthermore, I understand that NO REFUNDS will be given for missed days/weeks or cancellations. I have read and agree to comply with this policy. $

7

WELCOME TO STANLY COUNTY GYMNASTICS!

WELCOME TO STANLY COUNTY GYMNASTICS! WELCOME TO STANLY COUNTY GYMNASTICS! 1960 Post Rd. Albemarle, NC 28001 Phone: 704-983-2414 Email: stanlycountygymnastics@gmail.com Website: www.stanlycountygymnastics.wildapricot.org Stanly County Gymnastics,

More information

U.S. GOLD GYMNASTICS & CHEER ACADEMY INC.

U.S. GOLD GYMNASTICS & CHEER ACADEMY INC. RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ( AGREEMENT ) In consideration of participating in all activities at U.S. Gold Gymnastics and Cheer Academy, Inc., I represent

More information

Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly

Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly Last Name: Parent s Name: Address: City: State: Zip Code: Home Phone: Cell Phone: E-mail address: Work Phone:

More information

Cheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information

Cheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information Signature of Parent/or Legal Guardian Cheer Tumbling Registration Form (Please complete all fields and understand all information stated below) How did you hear about us? Referral Name: Student Information

More information

Camper Information Camper Name: Age: DOB: Address: City: State: Zip: Parent Information Parent/Guardian Name: Home Phone: Cell: Parent s

Camper Information Camper Name: Age: DOB: Address: City: State: Zip: Parent Information Parent/Guardian Name: Home Phone: Cell: Parent s 9744 St. Vincent Ave. Shreveport, La. 71106 Summer Day Camp 2018 Registration Packet We are delighted you have chosen to consider our fun camps this summer! We are looking forward to another great and

More information

Karen McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant:

Karen McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant: Volunteer- Counselor in Training Applications Spring 2018 Dear Counselor in Training Applicant: Boardman Park Adventure Day Camp Program prides itself on its reputation for quality and service. This recognition

More information

Charter Oak Gymnastics Winter Camp 2016

Charter Oak Gymnastics Winter Camp 2016 Charter Oak Gymnastics Winter Camp 2016 Week 1: December 26th-30th We may host 2nd week of Camp if enough families are interested January 2nd-6th Prices: Half Day $108 per week Full Day $178 per week Extended

More information

Charter Oak Gymnastics Winter Camps 2018

Charter Oak Gymnastics Winter Camps 2018 Charter Oak Gymnastics Winter Camps 2018 Week 1: December 26th 28th Week 2: January 2nd 4th Gymnastics! Have Work? Zip Line! Need To Do Shopping? Crafts! Have Too Much To Do? Games! Snacks! And MORE!!

More information

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone:

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone: Registration Form Name: Address: City: State: Zip: School: Grade: Grad Year: GPA: HT: WT: Cell Phone: Email: Size: Shirt: Pants: Helmet: Shoe: Jersey #: (List 3 numbers) Parent/Guardian Information Player

More information

ADULT COACHING APPLICATION

ADULT COACHING APPLICATION - MIAMI ROWING & WATERSPORTS CENTER, Inc. ADULT COACHING APPLICATION -MEMBER HRLY Private lessons where non-members and members can come and row in a one-on-one session tailored to your skill level and

More information

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS 2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions

More information

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions

More information

Lake Washington Rowing Club

Lake Washington Rowing Club Lake Washington Rowing Club 2018 Junior Rowing Program Participant Information Form Participant Information (all fields must be filled out),, Last Name First Name Today s Date Mailing Address Birthdate

More information

Athlete C hecklist. Step 1: Step 2: Step 3: Step 4: CONTACT INFORMATION:

Athlete C hecklist. Step 1: Step 2: Step 3: Step 4: CONTACT INFORMATION: Athlete C hecklist Step 1: Complete the ATHLETE REGISTRATION forms including: ATHLETE INFORMATION ATHLETE RELEASE & WAIVER OF LIABILITY & ACCIDENT AGREEMENT PAYMENT AGREEMENT Step 2: Return forms with

More information

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING.

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING. Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy

More information

2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa ENTRY INSTRUCTIONS

2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa ENTRY INSTRUCTIONS 2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa INDIVIDUAL ATHLETE ENTRY FORM ENTRY INSTRUCTIONS ENTRY DEADLINE: Received by Tuesday, July 1, 2003. Late entries will not be accepted. Guaranteed overnight

More information

BIG ROCK GYMNASTICS & DYNAMITE CHEER

BIG ROCK GYMNASTICS & DYNAMITE CHEER BIG ROCK GYMNASTICS & DYNAMITE CHEER Registration Form Please Print Clearly PERSONAL INFORMATION: Mailing Address City St Zip Both Parents E-Mail Address: / Home Phone # Childs Cell # Childs Email Mothers

More information

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For: MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00

More information

CAPITAL BADMINTON ACADEMY.

CAPITAL BADMINTON ACADEMY. CAPITAL BADMINTON ACADEMY www.capitalbadmintonacademy.com ABOUT US Welcome to Capital Badminton Academy! We re a badminton academy based in DMV (DC, Maryland and Virginia) and we train domestic and regional

More information

Ogden Cycle Association Membership Agreement

Ogden Cycle Association Membership Agreement Date: Ogden Cycle Association Membership Agreement Membership Type: (mark all that apply) Single Family Non-Wor king Charter Life Cash / Check # Amount Paid $ Receipt # New Member / Annual Renewal I agree

More information

Pocock Rowing Center

Pocock Rowing Center Pocock Rowing Center Office Use QB LGL XL S Code Membership Forms New Member Existing Member Former Member First Name: Last Name: Address: City: St: Zip: Email Address: Cell Phone ( ) Alt Phone: ( ) Gender:

More information

Please note that there is no liability coverage for wrestling activities held at a home or residential dwelling

Please note that there is no liability coverage for wrestling activities held at a home or residential dwelling Insurance coverage 2017-18 Insurance Information At USA Wrestling, our top priorities are safety and security. That's why we make sure you're covered by General Liability, Accidental Medical Expense, and

More information

Upper Natoma Rowing Club Junior Member Application (Please print clearly)

Upper Natoma Rowing Club Junior Member Application (Please print clearly) Upper Natoma Rowing Club Junior Member Application (Please print clearly) Name Birth Date Address City State Zip Code Phone Numbers (Home) Athlete (Cell) Athlete E-mail address School Graduation Year USRA

More information

TEAM KIT. Fire Truck Pull for Muscular Dystrophy Canada. Mission Fire/Rescue Service. September 12, am to 2pm

TEAM KIT. Fire Truck Pull for Muscular Dystrophy Canada. Mission Fire/Rescue Service. September 12, am to 2pm Fire Truck Pull for Muscular Dystrophy Canada September 12, 2015 10am to 2pm TEAM KIT Are your MUSCLES strong enough to pull a Fire Truck? Dear Participants: Mission Firefighters Charitable Society is

More information

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / / ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $ 300 in Cash and Prizes Saturday, March 24 th 2018 www.denvernorthsidett.com or 303-601-3415 Participant

More information

PRINTING INSTRUCTIONS

PRINTING INSTRUCTIONS PRINTING INSTRUCTIONS All forms must be printed in COLOR on standard 8.5 x 11 paper. Black and white or illegible copies will NOT be accepted. 1. The MINOR VEST APPLICATION is a one (1) page form. 2. The

More information

Information about membership -

Information about membership - MEMBERSHIP INFORMATION 2018 We are excited about ST. CROIX JOAD and the opportunities that will present themselves to youth archers ages 8-20. ST. CROIX JOAD is one of only a handful USA ARCHERY JOAD clubs

More information

Academy of Ice Carving

Academy of Ice Carving 2014 Registration Reservation Packet Weekday Month Date Note: To prepare for each day of instruction, you will also be provided 3-5 hours of essential drawing (and clay sculpting) activities to practice

More information

Lower Island Fire Departments. Fire Truck Pull Challenge for Muscular Dystrophy. June 18, 2016, 10am to 1pm TEAM KIT

Lower Island Fire Departments. Fire Truck Pull Challenge for Muscular Dystrophy. June 18, 2016, 10am to 1pm TEAM KIT Lower Island Fire Departments Fire Truck Pull Challenge for Muscular Dystrophy June 18, 2016, 10am to 1pm TEAM KIT Are YOU stronger than a FIREFIGHTER? Lower Island Fire Departments Dear Participants:

More information

2012 AAU SOUTHWEST DISTRICT QUALIFIER

2012 AAU SOUTHWEST DISTRICT QUALIFIER INFORMATION SHEET Competition Date: SATURDAY, FEBRUARY 11, 2012 Entry Fees: 1 or 2 Individual Events $65.00 3 Events $75.00 CLINICS: Referee Clinic ONLY: $35.00 (coaches must take clinic online!) Friday,

More information

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM REVISED 01/20/08 SIXTH ANNUAL AAU TRIPLE CROWN CLASSIC 2008AAU EAST COAST BENCH PRESS CLASSIC 2008 AAU MILITARY NATIONALS FULL POWER 2008 AAU MILITARY NATIONALS BENCH PRESS ENTRY DEADLINE: APRIL 20, 2008

More information

Instructions for Completing Ford DSFL Waivers

Instructions for Completing Ford DSFL Waivers Instructions for Completing Ford DSFL Waivers 1) Print out the four (4) forms attached. (Print in color if possible) 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly

More information

A.A.U. Region 9 Taekwondo Championship March 2, 2013 Butler Sports Complex South Main Houston, Texas INFORMATION SHEET

A.A.U. Region 9 Taekwondo Championship March 2, 2013 Butler Sports Complex South Main Houston, Texas INFORMATION SHEET INFORMATION SHEET Competition Date: SATURDAY, MARCH 2, 2013 Entry Fees: 1 or 2 Individual Events $85.00 3 Events $100.00 CLINICS: Referee Clinic ONLY: $35.00 (coaches must take clinic online!) Friday,

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

MEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page

MEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB NAME (print clearly): Date of birth: / / Home phone: ( ) - - Work/Cell: ( ) - - Email: Mailing address (city/ state) (Zip) Today s date:

More information

THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX

THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX Saturday February 26, 2011 Lyman Elementary School 2032 N. Kansas Ave. Topeka, Kansas 9:00AM to Noon! All races are Finals (with Flights as needed) Events for

More information

WHAT IS AN ESCAPE ROOM?

WHAT IS AN ESCAPE ROOM? WHAT IS AN ESCAPE ROOM? Escape rooms are experiences for anyone who enjoys hands-on puzzle solving, quick thinking, and interactive games. You and your team are "locked" in one of our themed rooms containing

More information

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / / 2018 Denver NorthSide TTC FALL CLASSIC TOURNAMENT ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $500.00 in Cash and Trophies Saturday, October 13 th,

More information

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION Player Information First Name: Last Name: Address: City, State, Zip: Home Phone: Email: Date Of Birth: School: Grade: Jersey Size: Age Division Select

More information

Terms and Conditions for 5aside.org

Terms and Conditions for 5aside.org Terms and Conditions for 5aside.org For more information on any of the below, please contact info@5aside.org League and playing rules are available separately through our website. Definitions These definitions

More information

Phone: Fax:

Phone: Fax: Fusion Elite All Stars: Mailing Address: 401 San Felipe Road, St G (Back row of warehouses) Hollister, CA 95023 2171 Cypress Street Hollister, CA 95023 Phone: 831-801-3343 Fax: 831-401-2015 www.fusioneliteallstars.com

More information

Membership Registration Form

Membership Registration Form Today s Date: Leeward Judo Club Membership Registration Form Primary Dojo Location (Check box): Pearl City Waipahu Student Information: Name (First, MI, Last) Date of Birth Age Sex Male Female Address

More information

*AHSEP reserves the right, at its sole discretion, to reject any candidate who does not meet the eligibility requirements as stated herein.

*AHSEP reserves the right, at its sole discretion, to reject any candidate who does not meet the eligibility requirements as stated herein. AHSEP Enrollment Information Hobie Wave 14 Sailing Classes Youth: Thursdays July 27 & August 3 5:30 8:30 Adults: Saturdays July 29 & August 12 1:30-4:30 The 2017 Hobie Wave 14 Sailing Classes will be a

More information

Miami Beach Rowing Club 2016 Summer Camp

Miami Beach Rowing Club 2016 Summer Camp Miami Beach Rowing Club s Head Coach Vladimir Matovic and his experienced staff are ready to challenge new and experienced rowers to reach their potential in both sweep and sculling. MBRC s rowing camp

More information

For more information please refer to Board Policy #AP Sep-16

For more information please refer to Board Policy #AP Sep-16 WHEN DO I NEED TO DO A FIELD TRIP REQUEST? CLUB/ORGANIZATION FIELD TRIP ACADEMIC FIELD TRIP Copies of clubs approved field trip request, Emergency Information Form, RCCD Student Excursion Contract, and

More information

POTOMAC VALLEY AAU REGISTRATION INFORMATION

POTOMAC VALLEY AAU REGISTRATION INFORMATION POTOMAC VALLEY AAU REGISTRATION INFORMATION Please ensure ALL documents are completed as indicated and placed in a large 9x12 envelope. Note: Rules requiring Government issued ID are in effect. Do not

More information

Wisconsin U19-U17 Select Rugby 2010 Information

Wisconsin U19-U17 Select Rugby 2010 Information 2010 Information www.wisconsinrugbyselects.com General Information: The Wisconsin Rugby Football Union is seeking U19 & U17 select level players to represent Wisconsin Union in the Rocky Mountain U19 &

More information

EWAUNA ROWING CLUB, INC

EWAUNA ROWING CLUB, INC EWAUNA ROWING CLUB, INC MEMBERSHIP INFORMATION/INSTRUCTION FORM CLUB DUES/PAYMENT SCHEDULE: Annual dues are effective for the calendar year (January 1 st through December 31 st). A single payment in the

More information

Membership Application

Membership Application Membership Application 2018 2019 PLEASE USE A SEPARATE FORM FOR EACH MEMBER All fields must be completed and all required signatures must be included before application will be processed All fields must

More information

HAWAII JUDO ACADEMY Building Champions for Success at All Levels in Life

HAWAII JUDO ACADEMY Building Champions for Success at All Levels in Life 10AM 11AM CLASS SCHEDULE Monday Tuesday Wednesday Thursday Friday Saturday Training (Kids &Adult) 10:00-12:00) 12AM 1 PM 4PM Kids Intro 4:30-5:00 5 PM Kids Kids 1 5:00-7:00 5:00-6:10 6 PM Kids 2 6:15-7:25

More information

Dance-Dance/Drill Team

Dance-Dance/Drill Team Dance-Dance/Drill Team Photocopy form as necessary. The signed Athlete Waiver must be submitted with this form. INSTRUCTIONS ENTRY DEADLINE: SEND: Received by Tuesday, July 1, 2003. Late entries will not

More information

New Member Renewing Member Transferring previous club name

New Member Renewing Member Transferring previous club name Membership Application 2017-2018 PLEASE USE A SEPARATE FORM FOR EACH MEMBER. Applications are due back in the office when you sign up for ice. *An asterisk indicates a field that is required in order to

More information

Individual waiver Form: Master form included, makes copies as needed. Athletes should sign only where indicated (at ATHELTE S SIGNATURE line).

Individual waiver Form: Master form included, makes copies as needed. Athletes should sign only where indicated (at ATHELTE S SIGNATURE line). POTOMAC VALLEY REGISTRATION CHECK LIST Please double check to make certain that the following documents have been completed as indicated: Rules requiring Government issued ID is in effect. Registration

More information

Parent & Camper Handbook/Manual

Parent & Camper Handbook/Manual SLAM Sports Summer Camp Parent & Camper Handbook/Manual 2014 SLAM 5 5 5 SLAM 326-0003. SLAM SLAM SLAM Charter schools's d SLAM Academy 25.00 9:00 4 120.00 SLAM 5 5 SLAM SLAM SLAM SLAM main lobby of the.

More information

2015 YOUTH SUMMIT: TOGETHER WE CAN

2015 YOUTH SUMMIT: TOGETHER WE CAN 2015 YOUTH SUMMIT: TOGETHER WE CAN What is Project UNIFY? Project UNIFY is a sports and education program that partners students with and without intellectual disabilities to create a more inclusive school

More information

2009 is the age they MUST compete at. If your athlete is 9 now but will be 10 in April, May, or June, they must compete in the 10 year old division.

2009 is the age they MUST compete at. If your athlete is 9 now but will be 10 in April, May, or June, they must compete in the 10 year old division. MONTANA AAU KARATE DISTRICT CHAMPIONSHIPS 610 Professional Dr., Suite 1 Phone: (406) 994-9194 Tournament Date: Saturday, May 9, 2009 Location: Time: Bozeman Senior High School South Gymnasium 205 N. 11

More information

After School Program Registration Form

After School Program Registration Form To enroll your child in the Duncanville Fieldhouse AFSP Program, please complete the information below and return to the Fieldhouse Front desk along with payment and a completed registration packet. CHILD

More information

Praise His Name in the Dance Psalm 149:3

Praise His Name in the Dance Psalm 149:3 Praise His Name in the Dance Psalm 149:3 Welcome to our studio! The mission of Winchester Christian Ballet, Inc. is to provide the highest quality of classical ballet training, create an atmosphere of

More information

JAMZ 2017 HAYWARD SCHOOL CHEER & DANCE CAMP

JAMZ 2017 HAYWARD SCHOOL CHEER & DANCE CAMP JAMZ 07 HAYWARD SCHOOL CHEER & DANCE CAMP EVENT DETAILS WHEN: Tuesday, July th - Thursday, July 7th CAMP SCHEDULE: Coach Check-in: 9:00am (Tuesday) Camp Instruction: :00am - 9:00pm (Tuesday) 9:00am - 9:00pm

More information

39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, % Raw prior to weigh-ins. $30 for Adults; $15 for athletes 19 & under and Special Olympians.

39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, % Raw prior to weigh-ins. $30 for Adults; $15 for athletes 19 & under and Special Olympians. 39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, 2018 MEET DIRECTOR: Jay Siegel engrave2@verizon.net SCHEDULE: All events take place at the BIGLER YMCA 61 Walker Rd. Bigler, PA 16825 Friday April 20, 2018

More information

Registration Form. Special Information (allergies, medical, behavioral, etc) you would like us to know about the gymnast/dancer:

Registration Form. Special Information (allergies, medical, behavioral, etc) you would like us to know about the gymnast/dancer: Registration Form Gymnast/Dancer Information Name: Date of Birth (MM/DD/YYYY): School (For Scheduling Purposes): School District (For Scheduling Purposes): Special Information (allergies, medical, behavioral,

More information

Shining Stars Afterschool Program

Shining Stars Afterschool Program Shining Stars Afterschool Program Monday-Friday 3:45-7:15 pm $40 per week/1st child $30 per week/2nd child *$36 for 3-Day Drop-In *Each Child* Games Crafts Movies Sports Homework Assistance Daily Snack

More information

JAMZ 2017 THOUSAND OAKS CHEER & DANCE CAMP

JAMZ 2017 THOUSAND OAKS CHEER & DANCE CAMP JAMZ 07 THOUSAND OAKS CHEER & DANCE CAMP EVENT DETAILS WHEN: Saturday, August th - Sunday, August th CAMP SCHEDULE: SATURDAY 8:0am - Coach Check-in 9:0am - :0pm - Camp Instruction SUNDAY 9:0am - :0pm -

More information

Tennessee Wesleyan University Volleyball Skills Camps

Tennessee Wesleyan University Volleyball Skills Camps Tennessee Wesleyan University Volleyball Skills Camps s: June 2 and June 9, 2018 at James L. Robb Gymnasium (204 E College St, Athens, TN 37303) (1:00pm-6:00pm, check in begins at 12:30pm) Cost: $75 per

More information

2012 LWRC Dues and Storage Fees

2012 LWRC Dues and Storage Fees 2012 LWRC Dues and Storage Fees Annual Membership Dues Regular Membership - $710.00 ($648.40 plus 9.5% tax) Family Membership $1065.00 ($972.60 plus 9.5% tax) Staff Membership for coaches & coxswains.

More information

WRAP-UP MESSAGE FROM THE PRINCIPAL MOHEGAN ELEMENTARY SCHOOL

WRAP-UP MESSAGE FROM THE PRINCIPAL MOHEGAN ELEMENTARY SCHOOL June 16, 2017 MOHEGAN ELEMENTARY SCHOOL WRAP-UP Mr. William G. Klinefelter, Principal MESSAGE FROM THE PRINCIPAL We had a fantastic year and I hope you have a wonderful and safe summer. This year the report

More information

SCCA Rally/Solo Release and Waiver Guidelines

SCCA Rally/Solo Release and Waiver Guidelines RISK MANAGEMENT I. Introduction SCCA Rally/Solo Release and Waiver Guidelines These guidelines are intended to provide basic information regarding release and waiver procedures for ALL non-club or SCCA

More information

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01)

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) Please make checks payable to St. Cloud Rugby Steelhead Player Full Name: Shorts Size needed (circle one, shorts are men s sizes): Small

More information

2019 SUMMER DAY CAMP REGISTRATION

2019 SUMMER DAY CAMP REGISTRATION 2019 SUMMER DAY CAMP REGISTRATION Child: First Name MI Last Name [ ] YMCA Member [ ] Non Member Email Enrollment Date SUMMER DAY CAMPS CHOOSE YOUR CAMPS & LOCATION: [ ] Ages 5-12 (must have attended kindergarten)

More information

NSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m.

NSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m. PREVIEW DAY NSU Multimedia Camp Wednesday, March 28, 2018 8:00 a.m. 6:00 p.m. Parent/Guardian Contact Information Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement Photo Release

More information

2019 Grip it and Rip it Deadlift Contest

2019 Grip it and Rip it Deadlift Contest 2019 Grip it and Rip it Deadlift Contest Sanctioned by R.A.W. United Meet Director: Bill Beekley * beekley220@gmail.com * 813-362-1908 Venue: Stronglife Training Facility/ Crossfit Jaguar * Tampa, Florida

More information

For office use only: Agency Participant. T-shirt received Shirt size: Adult- M L XL

For office use only: Agency Participant. T-shirt received Shirt size: Adult- M L XL SUMME ER DAY CAMP WEINGART-LAKEWOOD FAMILY YMCA REG GISTRA ATION PACKE ET For office use only: Agency Participant Year Round Participant T-shirt received Shirt size: Youth- XS S M L Adult- S M L XL SUMMER

More information

OBSERVED HOLIDAYS No classes

OBSERVED HOLIDAYS No classes 1 114 E Oak Ave Visalia, CA 93291 (559) 627-8277 spacpp@att.net www.spacdance.com @WeTrainDancers Student Enrollment form Please fill out for each student Student Name (First) (Last) Address (Town) (Zip)

More information

Registration Form Altius Handcrafted Firearms Biathlon Training Camp July, 2018 West Yellowstone, MT

Registration Form Altius Handcrafted Firearms Biathlon Training Camp July, 2018 West Yellowstone, MT Registration Form Altius Handcrafted Firearms Training Camp Camp registration is open to participants age 14 (2004 birth year) and older. This is a camp for experienced Biathletes who are looking for both

More information

SAMI Conference Dear SAMI Families and Students,

SAMI Conference Dear SAMI Families and Students, www.tsami.org SAMI Conference 2018 Dear SAMI Families and Students, The Science and Math Institute is a learning community. Whatever else we may be or try to accomplish, this is where we begin. We take

More information

ALL AMERICAN GYMNASTICS

ALL AMERICAN GYMNASTICS ALL AMERICAN GYMNASTICS ANNUAL REGISTRATION FORM Registration Month: REGISTRATION: All families must pay a $35.00 Annual Registration Fee before beginning any class. The $35.00 Annual Fee will then be

More information

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY PUEBLO RANGERS Individual Waiver Soccer Club PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY (MUST BE COMPLETED AND PRESENTED AT LEAST 30 MINUTES PRIOR TO YOUR FIRST

More information

South Suburban Youth Rugby Club

South Suburban Youth Rugby Club South Suburban Youth Rugby Club Middle School Grades 4-8 High School Fresh-Soph & Varsity Registration for 2016 Spring Season ALL FORMS MUST BE COMPLETED AND TURNED IN AND DUES PAID IN FULL BEFORE A PLAYER

More information

FLAVORS OF WISCONSIN JULY 14-20, 2019 REGISTRATION FORM. (Used only to communicate with you about the tour.) Emergency Contact: Phone

FLAVORS OF WISCONSIN JULY 14-20, 2019 REGISTRATION FORM.  (Used only to communicate with you about the tour.) Emergency Contact: Phone FLAVORS OF WISCONSIN JULY 14-20, 2019 REGISTRATION FORM Name Address City State Zip Phone *Gender *Age Email (Used only to communicate with you about the tour.) Emergency Contact: Phone *Fill in gender

More information

proudly present: Saturday, March 29

proudly present: Saturday, March 29 proudly present: Saturday, March 29 RULES OF PERFORMANCE SQUAT: The lifter shall face the front of the platform. The bar shall be held horizontally across the shoulders, hands and fingers gripping the

More information

BIRTHDAY PARTIES! BIRTHDAY FUN Have your next birthday party at the Habersham County Gymnastics Center. MAKE MEMORIES Friends, Family, and Fun!

BIRTHDAY PARTIES! BIRTHDAY FUN Have your next birthday party at the Habersham County Gymnastics Center. MAKE MEMORIES Friends, Family, and Fun! BIRTHDAY PARTIES! BIRTHDAY FUN Have your next birthday party at the Habersham County Gymnastics Center MAKE MEMORIES Friends, Family, and Fun! PARTY TIME Gymnastics or Cheer parties! LOCATION 583 Grant

More information

Dear Junior Rower, Coaching Staff: Novice Girls- Jade Nelson Novice Boys- John Kolenda

Dear Junior Rower, Coaching Staff: Novice Girls- Jade Nelson Novice Boys- John Kolenda Dear Junior Rower, We would like to invite you to join the Austin Rowing Club Juniors team for our fall 2016 season! No experience necessary! We are entering our 28 th year and are very excited about the

More information

Central Florida Fair Youth Record Book

Central Florida Fair Youth Record Book Circle One Exhibitor Age on September 1, 2017 Date of Birth Rabbit/ Cavy/Sheep Central Florida Fair Youth Record Book Format provided for use with permission of Florida State Fair Exhibitor Name Age Club

More information

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start

More information

Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew

Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew COURSE The racecourse is a 1500-meter course on Hoover Reservoir in Westerville,

More information

ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018

ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018 ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018 POLICIES Cost: Full Week (5 Days) $115, Half Week (3 Days) $70; Additional Children: Any additional children will receive a $10 discount on full weeks ONLY. Registration

More information

Athletics Participation and Pre-Participation Head Injury/Concussion Reporting Form

Athletics Participation and Pre-Participation Head Injury/Concussion Reporting Form Athletics Participation and Pre-Participation Head Injury/Concussion Reporting Form Fall Athletics, 2018 The Parent(s)/Guardian(s) must fill in all blanks. Please print clearly. Athlete s Name: Date of

More information

Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB

Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB NAME (print clearly): Date of birth: / / Home phone: ( ) - - Work/Cell: ( ) - - Email: Mailing address (city/state) (Zip) Today s date:

More information

ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE

ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE DATE: JUNE 22 & 23, 2019 OCTOBER 5 & 6, 2019 LOCATION: THE MARKET COMMONS TIME: JUNE SATURDAY 11 AM 8 PM / SUNDAY 11 PM 7

More information

Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers)

Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers) Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers) (Commercial Activity Providers) WAIVER AND RELEASE OF LIABILITY

More information

Governors State University, College of Arts and Sciences Summer 2018 STEAM Camp Registration

Governors State University, College of Arts and Sciences Summer 2018 STEAM Camp Registration Governors State University, College of Arts and Sciences Summer 2018 STEAM Camp Registration This is the registration form for the 2018 STEAM Camps at Governors State University. You may register by filling

More information

WELCOME TO KITTY HAWK KITES The Largest Hang Gliding School in the World - Where the Adventure Begins *please print clearly and fill out completely

WELCOME TO KITTY HAWK KITES The Largest Hang Gliding School in the World - Where the Adventure Begins *please print clearly and fill out completely WELCOME TO KITTY HAWK KITES The Largest Hang Gliding School in the World - Where the Adventure Begins *please print clearly and fill out completely 1. Name: First Last M.I. 2. Email: 2. Mailing Address:

More information

PLEASE DO NOT MAIL TO STREET ADDRESS. POST OFFICE WILL RETURN YOUR MAIL

PLEASE DO NOT MAIL TO STREET ADDRESS. POST OFFICE WILL RETURN YOUR MAIL SOTA Conference 2018 Dear SOTA Families and Students, Tacoma School of the Arts is a learning community. Whatever else we may be or try to accomplish, this is where we begin. We take the task of building

More information

UNITED STATES AUTO CLUB

UNITED STATES AUTO CLUB UNITED STATES AUTO CLUB 2015.25 MIDGET FAMILY COMPETITION LICENSE APPLICATION FOR ANNUAL FAMILY MEMBERSHIP & AUTHORIZATION FOR PUBLICITY USEAGE ANNUAL RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK

More information

LAKE COUNTY ROWING ASSOCIATION LAKE YOUTH CREW REGISTRATION Welcome!

LAKE COUNTY ROWING ASSOCIATION LAKE YOUTH CREW REGISTRATION Welcome! LAKE COUNTY ROWING ASSOCIATION LAKE YOUTH CREW REGISTRATION Welcome! The mission of LCRA Youth Crew is to promote the sport of rowing among Lake County high school teens and create competitive studentathletes

More information

Volunteer Application

Volunteer Application Memorial and Museum 62 Battleship Place Camden, New Jersey 08103 Volunteer Application Name: Address:. Telephone: Home ( ) Cell ( ) Email: Area(s) of Interest: Referred by: Please complete the attached

More information

Aftercare Program Enrollment Packet

Aftercare Program Enrollment Packet Aftercare Program 2016-2017 Enrollment Packet 1. Payment Methods Annual Plan Significant savings are available to your family by enrolling in an Annual Plan. Families electing this option for the 2016/17

More information

STREET ADDRESS CITY STATE ZIP / / / /

STREET ADDRESS CITY STATE ZIP / / / / Please fill out the registration for completely and return to : YMCA of Northern Michigan 434 East Lake Street, Petoskey, MI 49770 231-348-8393 Fax 231-348-8402 Camper Information CHILD S NAME GENDER Male

More information

East Lake Girls Lacrosse 2018 Spring Registration Form. Waiver and Release Form:

East Lake Girls Lacrosse 2018 Spring Registration Form. Waiver and Release Form: East Lake Girls Lacrosse 2018 Spring Registration Form Name: Parent Name: Emergency Number: Email: Address: City: ZIP: Phone Number: Grade: Age: Birth date: School: Position: Shirt Size Short Size Registration

More information

Y-CLUB AFTERSCHOOL PROGRAM

Y-CLUB AFTERSCHOOL PROGRAM 2017-2018 Y-CLUB AFTERSCHOOL PROGRAM AFTERSCHOOL PROGRAM The Y-Club Program is a fun place to be after school with lots of positive staff interaction and learning opportunities. We provide a healthy afterschool

More information