Summer Gymnastics Camp 2009
Come spend your Summer jumping, swinging, hopping, tumbling and flying at the Santa Barbara Gymnastics Club Summer Camp 2009. You will have a Blast O Fun!!
Gymnastics Camp is for campers age 3.5 and older.
All levels and abilities are welcome. We will also offer team level groups for boys and girls Level 4-10.
*Camp hours are 9:00 am- 2:00 pm
*Cost is $160/week or $45/day
Dates- June 8th through Sep 4th
*REMEMBER bring a lunch and wear comfortable clothes!
Registration: To register for camp write in the days you would like to enroll for _____________________________.
Space in camp is very limited. Payment is due in FULL at the time of registration.(No campers without payment will be allowed to participate!!!)Weekly rate is for a specific week and may not be broken up towards different weeks!
NO REFUNDS or credits towards other weeks!
Make checks payable to SBGCLLC.
You can mail payment along with this form to: SBGC 4179 State, Santa Barbara, CA 93110
For more information you can call SBGC at (805) 683-1724

Camper Information
Child’s Name________________Birthday_________Age____
Home Phone____________ Email_________________
Home Address:_____________________ City_____________ Zip____________
Child’s School_____________________
Father’s Name_____________ Work Phone______________
Mother’s Name______________ Work Phone______________
Emergency Name____________________ Phone Number_____________

Emergency Medical Treatment Authorization
Student’s Name (please print)____________________ Please list any allergies, allergic reaction or medical history which we should be aware of:____________________________________________________Last Tetanus:_________
I confirm that the named student is in good health and has had a physical exam within the past year.(date of exam)______ I do hear by authorize consent to any x-ray examinations, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed necessary and is rendered under general or special supervision of any physician or surgeon licensed under the provisions of Section 25.8 of the Civil Code of California. This authorization shall remain effective until evoked in writing.
RELEASE
I/We, the undersigned, individually and as parent(s) and/or guardian(s) of __________________________, a minor, ask that he/she be admitted to participate in this sport camp sponsored by The Santa Barbara Gymnastics Club LLC. In consideration of such admission, I/we do hereby agree to release, discharge, and hold harmless The Santa Barbara Gymnastics Club LLC, its officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the sport camp or in the course of competition and/or activities held in connection with the sport camp.

Parent Signature___________________________________ Date___________