MISSISSAUGA NEWNORTH NATIONAL RHYTHMIC GYMNASTICS CLUB

SUMMER CAMP 2016

at the

Hershey Centre Sport Zone

A GREAT OPPORTUNITY TO LEARN NEW SKILLS

AND MASTER THE OLD ONES

The 4 weeks SUMMER INTENSIVE TRAINING CAMP will run from

August 8, 2016 to September 2, 2016, five days a week.

Week 1 / August 8th to 12th / $200
2:00pm-7:00pm
Week 2 / August 15th to 19th / $200
2:00pm-7:00pm
Week 3 / August 22th to August 26th / $200
4:00pm-9:00pm
Week 4 / August 29th to September 2nd / $200
4:00pm - 9:00pm

If you register for a minimum of two weeks:

the price for one week is $200.00

the price for two weeks is $380.00

the price for three weeks is $540.00

the price for four weeks is $600.00

Additional $60.00 for new members only

This program ismandatoryfor all pre-competitive and competitive Interclub, Provincial, and National gymnasts.

The program builds upon skills taught during the previous season and introduces new skills and new apparatus technique in a fun environment. It also includes ballet, conditioning, and swimming.

Please be advised that attendance in this summer training will determine placing of the gymnasts in the

appropriate levels for the upcoming season.

20% off IF YOU REGISTER FOR 4 WEEKS (pay in full) BEFORE JUNE 20, 2016

MISSISSAUGA NEWNORTH NATIONAL RHYTHMIC GYMNASTICS CLUB

2016 SUMMER CAMP

REGISTRATION FORM

Last Name: ______First Name: ______

Date of Birth (dd/mm/yy): ______/______/______Age (as of Dec.31, 2017):______

Home phone: (______) ______Parent’s Cell phone: (______) ______

Emergency Contact: ______Phone: (______) ______

Address: ______

______

E-Mail Address: ______

Gymnasts training at Mississauga Newnorth RGC may have their image, likeness, and name (excluding personal address, phone, fax number, and email address), used in publications and on the internet by Mississauga Newnorth RGC from time to time. When signing this form, gymnasts, and, in the case of minors, their parent/guardian, agree that they have the authority to provide this authorization/approval to Mississauga Newnorth RGC.

I allow the use of personal information as outlined above, and image in Mississauga Newnorth RGC Media, including newsletter, website, poster, brochure, video, facebook pages.

Signature of Parent / Guardian: ______

I understand that there is potential risk of injury involved in training and participating in any sport. I understand that Mississauga Newnorth Rhythmic Gymnastics Club and Gymnastics Ontario have tried to create a safe and controlled environment for participation and that the club has established rules for participation on and about the gymnastics area that must be followed. I understand that failure to comply with any of the policies and rules of the club and/or Gymnastics Ontario may result in suspension or termination of membership. I waive the rights of the participant and family named above, to damages or other costs in the event injury is caused due to participation in gymnastics or other involvement with the Club/Federation.

WEEK SELECTION

WEEK / $60 NEW MEMBERS ONLY / TOTAL
WEEK 1
WEEK 2
WEEK 3
WEEK 4

PAYMENT METHOD: CASH or CHEQUE

Signature of Parent / Guardian: ______

Date: ______