Star Center Gymnastics
Star Center Gymnastics 3100 West Slaughter Lane Building B, Austin TX 78748 512-280-8532 office 512-280-9672 fax www.austinstarcenter.com [email protected]
March 12th – March 16th Ages 5 - 12
Fees: Daily Rates w/ Field Trip included
Date
Field Trip
Star Center Afterschool Members
Non Afterschool Members
Mon. 3/12
Texas Museum of Science and Technology
$46
$61
Tues. 3/13
Texas Capitol Tour
$45
$60
Wed. 3/14 Thurs. 3/15 Fri. 3/16
Dave and Buster’s $65 $80 Zilker Park & Sheffield $45 $60 Education Center Stunt Ranch $55 $70 There is an additional $10 fee for drop in’s (last minute registration).
Daily Schedule: Monday, March 12th 7:30 – 8:30 8:30 – 9:30 9:30– 11:00 11:00 – 11:45 12:00 – 2:30 2:30 – 3:00 3:00 – 4:00 4:00 – 6:00 6:00– 6:30 Tuesday, March 13th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:45 11:00 – 3:30 3:30 – 4:00 4:00 – 5:00 5:00 – 6:00 6:00– 6:30
Texas Museum of Science and Technology: Please arrive by 10:30 a.m. *Bring a sack lunch Parent Drop Off Games Open Gym Lunch Field Trip Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up) Tour the Texas Capitol Building: Please arrive by 10 a.m. *Bring a sack lunch Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up)
Wednesday, March 14th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:15 10:30 – 3:30 3:30 – 4:00 4:00 – 5:00 5:00 – 6:00 6:00– 6:30 Thursday, March 15th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:30 11:00 – 3:00 3:30 – 4:00 4:00 – 5:00 5:00 – 6:00 6:00– 6:30 Friday, March 16th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:15 10:30 – 2:30 2:30 – 3:00 3:00 – 4:00 4:00 – 6:00 6:00– 6:30
Dave and Buster’s: Please arrive by 10 a.m. *Lunch and $20 game card provided – you may give your child extra money Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up) Zilker Park and Sheffield Education Center: Please arrive by 10 a.m. *Bring a sack lunch – We will provide sunscreen Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up) Stunt Ranch: Please arrive by 10 a.m. *Bring a sack lunch – Children must be wearing closed-toed shoes Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up)
3100 West Slaughter Lane Building B, Austin TX 78748 512-280-8532 office 512-280-9672 fax Child’s Name: _____________________________________________Sex: ____Age: ___ D.O.B.: ___/___/___ Child’s Name: _____________________________________________Sex: ____Age: ___ D.O.B.: ___/___/___ Child’s Name: _____________________________________________Sex: ____Age: ___ D.O.B.: ___/___/___ Address: _______________________________________________________ City: ___________ Zip: ________ Parent’s Name: ____________________________
Parent’s Name: __________________________
Home #: ___________________________
Home #: ___________________________
Cell #: ____________________________
Cell #: _____________________________
Work #: ___________________________
Work #: ____________________________
Email: ____________________________ Email: _____________________________ AUTHORIZATION FOR EMERGENCY MEDICAL ATTENTION In the event that I cannot be reached to make arrangements for emergency medical attention, I authorize the facility director or person in charge to take my child to the nearest medical facility. Signature of Parent or Guardian: _______________________________________________________________________________ Child’s Physician: _________________________________________ Phone #: _________________________ Any known medical problems: __________________________________________________________________________________________ RELEASE OF LIABILITY All precautions will be taken to prevent accidents. However, should an accident occur, first aid will be administered and parent or doctor will be notified, if necessary. Star Center Gymnastics and staff cannot be held liable for injuries that occur on gym premises or otherwise in the care of Star Center Gymnastics personnel. I/We _____________________________________________ assume all responsibility and waive any claim for compensation for injury incurred by my child while at Star Center Gymnastics and hereby agree to indemnify or hold harmless the gym, its owners, and employees against any and all claims which may arise from an injury to my child while participating in the program. I have read and abide by the guidelines. Signature of Parent or Guardian: ___________________________________________ Date: _____/_____/_____ I, hereby give my permission to Star Center Gymnastics to provide transportation to and from the field trips. Signature of Parent or Guardian: ___________________________________________ Date: _____/_____/_____ _____ Monday 3/12/18
_____ Tuesday 3/13/18 _____ Thursday 3/15/18
_____ Wednesday 3/14/18 _____ Friday 3/16/18
Please mark which days your child/children will attend camp.
March 12th – March 16th Ages 5 - 12
Fees: Daily Rates w/ Field Trip included
Date
Field Trip
Star Center Afterschool Members
Non Afterschool Members
Mon. 3/12
Texas Museum of Science and Technology
$46
$61
Tues. 3/13
Texas Capitol Tour
$45
$60
Wed. 3/14 Thurs. 3/15 Fri. 3/16
Dave and Buster’s $65 $80 Zilker Park & Sheffield $45 $60 Education Center Stunt Ranch $55 $70 There is an additional $10 fee for drop in’s (last minute registration).
Daily Schedule: Monday, March 12th 7:30 – 8:30 8:30 – 9:30 9:30– 11:00 11:00 – 11:45 12:00 – 2:30 2:30 – 3:00 3:00 – 4:00 4:00 – 6:00 6:00– 6:30 Tuesday, March 13th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:45 11:00 – 3:30 3:30 – 4:00 4:00 – 5:00 5:00 – 6:00 6:00– 6:30
Texas Museum of Science and Technology: Please arrive by 10:30 a.m. *Bring a sack lunch Parent Drop Off Games Open Gym Lunch Field Trip Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up) Tour the Texas Capitol Building: Please arrive by 10 a.m. *Bring a sack lunch Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up)
Wednesday, March 14th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:15 10:30 – 3:30 3:30 – 4:00 4:00 – 5:00 5:00 – 6:00 6:00– 6:30 Thursday, March 15th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:30 11:00 – 3:00 3:30 – 4:00 4:00 – 5:00 5:00 – 6:00 6:00– 6:30 Friday, March 16th 7:30 – 8:30 8:30 – 9:00 9:00 – 10:15 10:30 – 2:30 2:30 – 3:00 3:00 – 4:00 4:00 – 6:00 6:00– 6:30
Dave and Buster’s: Please arrive by 10 a.m. *Lunch and $20 game card provided – you may give your child extra money Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up) Zilker Park and Sheffield Education Center: Please arrive by 10 a.m. *Bring a sack lunch – We will provide sunscreen Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up) Stunt Ranch: Please arrive by 10 a.m. *Bring a sack lunch – Children must be wearing closed-toed shoes Parent Drop Off Games Open Gym Field Trip/Lunch Snack Gymnastics Free Play / Open Gym / Parent Pickup Late Pickup (There is an additional $5 fee for late pick up)
3100 West Slaughter Lane Building B, Austin TX 78748 512-280-8532 office 512-280-9672 fax Child’s Name: _____________________________________________Sex: ____Age: ___ D.O.B.: ___/___/___ Child’s Name: _____________________________________________Sex: ____Age: ___ D.O.B.: ___/___/___ Child’s Name: _____________________________________________Sex: ____Age: ___ D.O.B.: ___/___/___ Address: _______________________________________________________ City: ___________ Zip: ________ Parent’s Name: ____________________________
Parent’s Name: __________________________
Home #: ___________________________
Home #: ___________________________
Cell #: ____________________________
Cell #: _____________________________
Work #: ___________________________
Work #: ____________________________
Email: ____________________________ Email: _____________________________ AUTHORIZATION FOR EMERGENCY MEDICAL ATTENTION In the event that I cannot be reached to make arrangements for emergency medical attention, I authorize the facility director or person in charge to take my child to the nearest medical facility. Signature of Parent or Guardian: _______________________________________________________________________________ Child’s Physician: _________________________________________ Phone #: _________________________ Any known medical problems: __________________________________________________________________________________________ RELEASE OF LIABILITY All precautions will be taken to prevent accidents. However, should an accident occur, first aid will be administered and parent or doctor will be notified, if necessary. Star Center Gymnastics and staff cannot be held liable for injuries that occur on gym premises or otherwise in the care of Star Center Gymnastics personnel. I/We _____________________________________________ assume all responsibility and waive any claim for compensation for injury incurred by my child while at Star Center Gymnastics and hereby agree to indemnify or hold harmless the gym, its owners, and employees against any and all claims which may arise from an injury to my child while participating in the program. I have read and abide by the guidelines. Signature of Parent or Guardian: ___________________________________________ Date: _____/_____/_____ I, hereby give my permission to Star Center Gymnastics to provide transportation to and from the field trips. Signature of Parent or Guardian: ___________________________________________ Date: _____/_____/_____ _____ Monday 3/12/18
_____ Tuesday 3/13/18 _____ Thursday 3/15/18
_____ Wednesday 3/14/18 _____ Friday 3/16/18
Please mark which days your child/children will attend camp.
