Summer Specialty Camp

All camps will be from 9AM to 12PM of the day it occurs. We will call for payment after your form has been submitted.
Select The Camps:
Number Of Weeks You Are Registering For:*
Is your child currently enrolled in a class at Elite Gym?*
Member Form
Child's Name*
First Last
Child's Age*
Parent's Name*
First Last
Email*
Phone*
Any health problems?*
Please explain.
Any allergies?*
Please explain.
Non-Member Form
Child's Name*
First Last
Child's Age*
Birthdate*
Grade*
Email*
Phone*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Mother's Name*
First Last
Employer
Cell Phone Number
Work Phone Number
Father's Name*
First Last
Employer
Work Phone Number
Cell Phone Number
Emergency Contact 1*
First Last
Relationship*
Phone Number*
Emergency Contact 1*
First Last
Relationship*
Phone Number*
Any health problems?*
Please explain.
Any allergies?*
Please explain.
Release
I 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
Initial - I give permission to Elite Gym to use pictures of my child to post on the Elite Facebook page and Website.*
Notes
Payment
Total
Price: $0.00
Phone Number*
We will call you for payment.
CAPTCHA

Summer Specialty Camp

Member Form

Non-Member Form

Release

Payment

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