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Welcome to Liberty Gymnastics' Spring Camp! **Campers will enjoy working on new gymnastics skills, playing games, and making new friends! ** (Fee is $225 (early bird) for the week, after 3/20 $245) ** We will be hosting our camp for ages 6 and up from 9am - 4pm on Monday, April 3- Friday, April 7 ** Extended care possible after 4:00pm for an additional $10.00 per hour. No half days for ages 6 and up.
Event:
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End Date/Time:
Fee per Student:
Room:
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Family Information
First Name:
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Last Name:
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Type
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Step Father
Step Mother
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Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Emergency Contact Info
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Students entered below will be added to your family's account
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
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Student's First Name:
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Student Gender:
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Birth Date:
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Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #3:
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Student's First Name:
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Student Gender:
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Birth Date:
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Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
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Student's First Name:
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Student Gender:
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Birth Date:
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Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Additional Information:
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OH
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OR
PA
RI
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TN
TX
UT
VA
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WA
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PR
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Zip:
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