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PYRAMID MORNING SUMMER CAMP 2011 REGISTRATION FORM
10:00AM- 12:00 Noon, Monday-Thursday
Please circle your session(s) of choice:
Week #1 June 13-16, #2 June 20-23, #3 June 28-July 1 (Tu-F), #4 July 5-8 (Tu-F), #5 July 11-14
Camper Name: __________________ Phone Number(s): ____________________
Address: __________________________ ____________________ ____________
(street) (city) (zip code)
Birthdate: ___/___/___ Age: ____ Grade (9/11): _____ School: _________________
(mo) (day) (yr)
Previous Gymnastics Experience: ________________________________
Please describe any relevant pre-existing medical conditions affecting your child:
_______________________________________________________________________
I hereby give my child permission to participate in the PYRAMID summer camp. I realize the inherent danger & risk associated with children's gymnastics and hold PYRAMID harmless for any injury my child might sustain.
Parent's Permission to Participate: _________________ ______________________ ____
(Printed Name) (Signature) (Date)
To secure your child's space, please complete form and return with your check for $120.00.
(or circle MasterCard or Visa __#________________________ exp. date ____________)
PYRAMID • P.O. Box 7077 • Corte Madera CA 94925 • Telephone (415) 927-1240
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PYRAMID AFTERNOON SUMMER CAMP 2011 REGISTRATION FORM
During the summer Pyramid will be offering a series of afternoon, weekly intensive programs (in addition to it's ongoing year-round class schedule). These weekly camps will be offered over a seven-week period starting June 13 and ending July 29. Students will meet each day for one week, Monday through Friday, for a 45 minute or one hour class.
AFTERNOON CAMP SESSIONS:
Week #1 June 13-17, #2 June 20-24, #3 June 27-July 1; #4 July 5-8 (Tu - Fri deduct cost for one class), #5 July 11-15, #6 July 18-22, #7 July 25- 29.
AGE GROUP TIME* COST
Pre-K & Kindergarten 2:45-3:30 $65.00
Kindergarten-2nd Grade 3:30-4:15 $65.00
1st-4th Grade 4:15-5:15 $75.00
3rd-6th Grade 5:15-6:15 $75.00
Please select and indicate below 1.) your session of choice, 2.) class time, and 3.) cost. (example: #1 June 13-17, 3:30-4:15, $65.00):
Session: ____________ Time: ____________ Cost: ________
Please note:
All Monday classes will meet 15 minutes earlier than shown.
Camper Name: __________________ Phone Number(s): _______________________
Address: __________________________ _____________________ ____________
(street) (city) (zip code)
Birthdate: ___/___/___ Age: ____ Grade (9/11): _____ School: _________________
(mo) (day) (yr)
Previous Gymnastics Experience: ________________________________
Please describe any pre-existing medical conditions affecting your child:
_______________________________________________________________________
I hereby give my child permission to participate in the PYRAMID summer camp. I realize there is inherent danger & risk associated with children's gymnastics and hold PYRAMID harmless for any injury my child shall sustain.
Parent's Permission to Participate: _________________ _________________________ _______
(Printed Name) (Signature) (Date)
To secure your child's space, please complete form and return with your payment:
(or circle MasterCard or Visa __#________________________ exp. date ____________ )
PYRAMID • P.O. Box 7077 • Corte Madera CA 94925 • Telephone (415) 927-1240
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