Register Now »Are you purchasing specific days or weekly packages?*SelectSpecific DaysWeek PackagesCombination Of BothWhat camps would your child like to attend?*May 28th - May 31st (Under The Big Top)June 3rd - June 7th (Space Is The Place)June 10th - June 14th (Wild Wild West)June 17th - June 21st (Plast From The Past)June 24th - June 28th (H2 Oh Yeah!)July 1st - July 5th (Rockin' In The USA)July 8th - July 12th (Magic Of Imagination)July 15th - July 19th (Game On!)July 22nd - July 26th (Aloha To Summer)Number Of Weeks You Are Registering For:*Enter the specific Dates you plan to purchase below with Name of the camp beside it.*Number Of Individual Days You Are Registering For*Is your child currently enrolled in a class at Elite Gym?*SelectYesNoMember FormChild's Name* First Last Child's Age*Parent's Name* First Last Email* Phone*Any health problems?*SelectYesNoPlease explain.Any allergies?*SelectYesNoPlease explain.Non-Member FormChild's Name* First Last Child's Age*Birthdate*Grade*Email* Phone*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's Name* First Last EmployerCell Phone NumberWork Phone NumberFather's Name* First Last EmployerWork Phone NumberCell Phone NumberEmergency Contact 1* First Last Relationship*Phone Number*Emergency Contact 1* First Last Relationship*Phone Number*Any health problems?*SelectYesNoPlease explain.Any allergies?*SelectYesNoPlease explain.ReleaseI hereby authorize Elite School LLC to act for me according to their best judgement in any emergency requiring medical attention. The undersigned hereby acknowledges that participation in recreational programs involves inherent risk of physical injury, catastrophic injury, or even death. The undersigned assumes all such risks and agrees to waive and release Elite School LLC, its owners, employees, and affiliates from any liability for injuries or death incurred while involved in a program on or off the premises. The undersigned also assumes all medical costs incurred as a result of such an accident. This waiver is also applicable to any transportation in the Elite vans.Please type the following. This will serve as your digital signature.Your Name* First Last Guardian For* First Last Date* Date Format: MM slash DD slash YYYY Initial - I give permission to Elite Gym to use pictures of my child to post on the Elite Facebook page and Website.*NotesPaymentPayment due in full at the time of registration. NO REFUNDS. After submitting, please call the gym to make payment.Total Amount Due: Price: $89.00 Phone Number*Notes/Comments
