2010 North Metro Gymnastics SSS Metro Cruise

Please complete the following information to register for the 2010 North Metro Gymnastics SSS Metro Cruise

Please provide the following contact information:

Parent Information:

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone:

E-mail

Emergency Contact

Emergency Contact Phone Number

Child #1 Information

Child #1 Name

Age/DOB

Option Choice

Weeks Attending Please check each week Child #1 will attend camp:
Week 1 (6/14-6/18)
Week 2 (6/21-6/25)
Week 3 (6/28-7/2)
Week 4 (7/5-7/9)
Week 5 (7/12-7/16)
Week 6 (7/19-7/23)
Week 7 (7/26-7/30)

Child #2 Information

Child #2 Name

Age/DOB

Option Choice

Weeks Attending Please check each week Child #1 will attend camp:
Week 1 (6/14-6/18)
Week 2 (6/21-6/25)
Week 3 (6/28-7/2)
Week 4 (7/5-7/9)
Week 5 (7/12-7/16)
Week 6 (7/19-7/23)
Week 7 (7/26-7/30)

Child #3 Information

Child #3 Name

Age/DOB

Option Choice

Weeks Attending Please check each week Child #1 will attend camp:
Week 1 (6/14-6/18)
Week 2 (6/21-6/25)
Week 3 (6/28-7/2)
Week 4 (7/5-7/9)
Week 5 (7/12-7/16)
Week 6 (7/19-7/23)
Week 7 (7/26-7/30)

Child #4 Information

Child #4 Name

Age/DOB

Option Choice

Weeks Attending Please check each week Child #1 will attend camp:
Week 1 (6/14-6/18)
Week 2 (6/21-6/25)
Week 3 (6/28-7/2)
Week 4 (7/5-7/9)
Week 5 (7/12-7/16)
Week 6 (7/19-7/23)
Week 7 (7/26-7/30)

Please provide the following information:

Form of Payment

Check #

Cash

Credit Card:

Credit Card #

Expiration: /

Waiver will be emailed after registration and must be signed and returned to North Metro Gymnastic Center on or before the first day of camp.

North Metro Gymnastics Center is a member of USA Gymnastics, AAU Gymnastics, the United States Association of Independent Gymnastics Clubs, Georgia USAG, Georgia High School Association, and a proud sponsor of the Children's Healthcare of Atlanta.