Gymnastics Camp
14702 Southlawn Ln. Rockville, MD Phone 301-251-5525 Fax 301-251-2116 www.xtremeacroandcheer.com
Gymnastics Camp All ages Indepth instruction on standing and running tumbling. Great for competitive gymnasts, cheerleaders, dancers or anyone trying to improve their tumbling abilities.
Ages 5 to 12
9am - 3pm $60 per day $150 for all
Includes gymnastics, acrobatics, and trampoline instruction as well as fun group activites. Please send a snack, lunch and refillable water bottle each day of camp.
Please send a snack, lunch and refillable water bottle each day of camp.
CONSENT AND RELEASE AGREEMENT: I give permission for my child to participate in summer camp at Xtreme Acro and Cheer. I understand that these sports are inherently dangerous. I accept that any activity involving motion or height can cause serious, permanent or fatal injury. I will support and abide by the gym rules and policies posted in the gym. The registered athlete has had a medical examination within the last twelve months and is physically, mentally and emotionally capable of participating in these sports. I understand that athletes are expected to carry there own accident and medical insurance. I agree to be responsible for any medical bills incurred resulting from illness or injury while my child is at Xtreme Acro and Cheer. In the event of injury or illness, every effort will be made to contact the parents or guardian. If necessary, I authorize Xtreme Acro and Cheer to administer first aid and/or authorize medical treatment.
Payment in full required to hold your spot. Make check payable to “Xtreme Acro and Cheer” OR Credit Card: Visa or MC __________________________ exp_________ 3 digit # on back____
Address:___________________________________________ City, State, Zip:__________________________________________
Phone:__________________________________________ Mother’s Name:_______________Work #:_______________ Father’s Name:________________Work #:_______________
Camp Dates
Child’s Name:___________________________Age:_______
Parent’s signature:____________________________________ Camp Type:______________Date(s)________________ ________
Tuesday, March 27th Wednesday, March 28th Thursday, March 29th
Gymnastics Camp All ages Indepth instruction on standing and running tumbling. Great for competitive gymnasts, cheerleaders, dancers or anyone trying to improve their tumbling abilities.
Ages 5 to 12
9am - 3pm $60 per day $150 for all
Includes gymnastics, acrobatics, and trampoline instruction as well as fun group activites. Please send a snack, lunch and refillable water bottle each day of camp.
Please send a snack, lunch and refillable water bottle each day of camp.
CONSENT AND RELEASE AGREEMENT: I give permission for my child to participate in summer camp at Xtreme Acro and Cheer. I understand that these sports are inherently dangerous. I accept that any activity involving motion or height can cause serious, permanent or fatal injury. I will support and abide by the gym rules and policies posted in the gym. The registered athlete has had a medical examination within the last twelve months and is physically, mentally and emotionally capable of participating in these sports. I understand that athletes are expected to carry there own accident and medical insurance. I agree to be responsible for any medical bills incurred resulting from illness or injury while my child is at Xtreme Acro and Cheer. In the event of injury or illness, every effort will be made to contact the parents or guardian. If necessary, I authorize Xtreme Acro and Cheer to administer first aid and/or authorize medical treatment.
Payment in full required to hold your spot. Make check payable to “Xtreme Acro and Cheer” OR Credit Card: Visa or MC __________________________ exp_________ 3 digit # on back____
Address:___________________________________________ City, State, Zip:__________________________________________
Phone:__________________________________________ Mother’s Name:_______________Work #:_______________ Father’s Name:________________Work #:_______________
Camp Dates
Child’s Name:___________________________Age:_______
Parent’s signature:____________________________________ Camp Type:______________Date(s)________________ ________
Tuesday, March 27th Wednesday, March 28th Thursday, March 29th
