Credit Card: ... General Public: $320 + Registration fee $10/GP, add options: ... reserves the right to cancel or change
Gymnastics Team Camp
This camp is for NAC Team Members only! In this week of camp your gymnast will have the chance to improve all her skills before heading into the next season. We will have an intense, action packed, and fun filled workout on all events every day. There will be tons of extra fun, games, challenges, contests, open gym and lots more! All gymnasts need to be in a leotard with hair pulled back and no jewelry. Please pack a lunch, drink, snack, bathing suit and a water bottle everyday.
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August 3 – 7
9:00am – 3:00pm
NAC Members: $260 /week (plus $5 Reg Fee) General Public: $320 /week (plus $10 Reg Fee) Additional Options: Lunch: $35 /week Before Care* (7:30am-9:00am): $7 /day, $25 /week After Afternoon Care* (3:00pm-6:00pm): $20 /day, $75 /week *Gymnasts will be with Camp NACster for any additional care
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Gymnastics Team Camp 2015 Please complete form and return to program desk. 120 Pheasant Run, Newtown, PA 18940
Camper’s name:____________________________________________________________ Age:________ DOB:_________________ NAC Member: Yes________ No________ Guardian’s name:___________________________________________________________ Address:__________________________________________________________________ City, State, Zip:____________________________________________________________ Work Phone:_________________________Home Phone:___________________________ MOP:Check #:______Cash:______NAC:______Visa:______M/C:______Discover:______ Credit Card:____________________________________ Expiration Date:______________ Member: $260 + Registration fee $5/Mem, add options:________________________________________ General Public: $320 + Registration fee $10/GP, add options:____________________________________ Total Amount Paid: $________________________________________________________ Liability Release Participant expressly agrees on his/her behalf that all use of the club shall be undertaken at his/her sole risk, and that the Club’s owners, managers and employees shall not be liable for any damages or injuries to any member or guest, or be subject to any claim or demand whatsoever. Each participant assumes responsibility for him or herself and on behalf of his/her executors, administrators and assigns, does fully and forever waive, release and discharge the Club’s owners, managers, employees and agents from any and all claims, demands, damages, rights of action or cause of action, present or future whether the same be known or unknowns, anticipated, resulting from, or arising out of, the Member or his/her guest, or his/her minor children’s use or intended use of the Club’s facilities and equipment. I consent to pictures being taken of the Participant and understand that any such pictures will become property of the Club. They may be used without payment of fees or other compensation to the Participant. --- The NAC reserves the right to cancel or change program schedules due to low enrollment --- Participants who cancel 1 week prior to the start of a fee-based session may submit a credit request with a $20 processing fee --- Cancellations after the start of the session will not receive a refund or credit --- Refunds will not be given at any time for programs canceled by participants, unless a physicians’ note is submitted with a refund request
Office use only: Date:________ BP: ________
Where the Participant is a minor (under 18), a parent or legal guardian must sign below indicating agreement with the terms of this application on behalf of the minor child.
Signature:__________________________________________Date:_____________________
