MARCH 29 APRIL 2 2021 MINI REGISTRATION

CABINET 13TH MARCH 2012 MEETING COMMENCED 1000AM ADJOURNED
  PUESTA EN MARCHA DE PROGRAMA PARA IMPULSAR
PUESTA EN MARCHA PUESTA EN MARCHA LA REFORMA

UNOFFICIAL FUNDS MANUAL OF GUIDANCE MARCH
3 LAST UPDATED 29 MARCH 2007 EU
9 CONFORMED COPY MARCH 29 2010 HIS EXCELLENCY

COMPLETE THIS FORM AND BRING TO FIRST DAY OF CAMP

March 29 - April 2, 2021


MINI REGISTRATION FORM


CAMPER NAME:__________________________________AGE:_______


PARENT/GUARDIAN NAME:___________________________________


ADDRESS:___________________________________________________


PHONE: (H)______________________(W)_________________________


EMERGENCY #:______________________________________________


Send full payment with Mini Registration Form prior to camp.


Amount Paid:_____________________


Check #:_______Cash:______ Credit Card (VISA, Master Card or Discover) Number:______________________________ Expiration: ________ CVV________


***** NO REFUNDS *****


As a convenience to our customers we offer daily rates.


Spring Camp Fees:

Monday – Friday

9:00 – 3:00

$345

Per Day

9:00 – 3:00

$90

Half Day (M - F)

9:00 – 12:00

$285

Per Half Day

9:00 – 12:00

$75

Care

Per Hour

$10



PLEASE INDICATE WHICH DAYS YOU WISH TO ATTEND:

Monday / Tuesday / Wednesday / Thursday / Friday


On the first day of camp bring:


**CAMPERS BRING A LUNCH AND TWO SNACKS AND LABEL ALL FOOD AND DRINK CONTAINERS WITH NAME AND DATE (Absolutely NO PEANUT PRODUCTS are permitted in lunches). **




COMPLETE THIS FORM AND BRING TO FIRST DAY OF CAMP

CARDINAL GYMNASTIC CENTER DAY CAMP

REGISTRATION FORM


CHILD’S NAME__________________________________NICKNAME____________________


ADDRESS_________________________________________________ZIP__________


HOME PHONE:__________________________BIRTHDATE:______________AGE:____


PARENTS/ GUARDIAN:


FATHER:___________________________________ CELL PHONE:_________________


PLACE EMPLOYED________________________ __WORK PHONE:________________


MOTHER:__________________________________ CELL PHONE:_________________

PLACE EMPLOYED__________________________ WORK PHONE:_______________


PERSON(S) OR AGENCY HAVING LEGAL CUSTODY OF CHILD:

______________________________________________________________________


ADDRESS_____________________________HOME PHONE:_____________________


EMERGENCY INFORMATION:


PLEASE LIST ANY ALLERGIES OR INTOLERANCE TO FOOD, MEDICATION, ETC:


______________________________________________________________________


PLEASE LIST ANY SPECIAL ACTION WE MUST TAKE IN AN EMERGENCY:


______________________________________________________________________


CHILD’S PHYSICIAN:________________________________________PHONE:______________


NAMES OF TWO PEOPLE TO CONTACT IF PARENTS CAN NOT BE CONTACTED:


1.________________________________________________PHONE:______________


ADDRESS:____________________________________________________________


2. __________________________________________________PHONE:______________


ADDRESS:____________________________________________________________

PERSON(S) AUTHORIZED TO PICK UP CHILD:


______________________________________________________________________

LIST ANY PERSON(S) NOT AUTHORIZED TO PICK UP CHILD:


_________________________________________________________________________________________


LIST ANY CHRONIC PHYSICAL PROBLEMS AND PERTINENT DEVELOPMENTAL INFORMATION:


_________________________________________________________________________________________


(OVER)

WAIVER/AGREEMENTS


1. Cardinal Gymnastics Day Camp agrees to notify the parent/guardian whenever the child becomes ill and the parent/guardian will arrange to have the child picked up as soon as possible.

2. The parent/guardian authorizes Cardinal Gymnastics Day Camp to obtain immediate medical care if any emergency occurs when the parents can not be immediately located. Students are expected to carry their own accident and medical insurance. I agree to be responsible for any medical bills incurred resulting from illness or injury during my child’s participation at Vigo Corporation, Inc.

3. Parents will be notified of any inappropriate or disruptive behavior and staff will attempt to work with the parents to resolve the issue. We do reserve the right to dismiss a child for continued misbehavior.

4. I/We agree to inform Cardinal Gymnastics center within 24 hours after his child or any member of the immediate household has developed any reportable communicable disease.

5. Cardinal Gymnastics Center will not refund camp tuition unless a request is made in writing two weeks prior to the start of the session. There is a $35.00 charge for returned checks. Any request to change from one session to another will be subject to a $15 processing fee.

6. The parent/guardian forever waives and forever releases and discharges Cardinal Gymnastics Center, their officers, directors, owners, employees and agents from all liability for any for any and all damages and injuries suffered by the participant in connection with said use of equipment, instructors and facilities.

7. Cardinal Gymnastics Center is not responsible, whatsoever, for anything that happens before or after the student’s designated class or camp.

8. If a parent or authorized person is late in picking the child up, a late fee of $5 for every 15 minutes will be applied and must be paid that day. A staff member will remain with the child up to one hour after camp ends. After one hour, Child Protective Services will be called.


SIGNATURES

I have read and agree to the above conditions:


____________________________________________________________________________________

PARENTS OR GUARDIANS DATE


____________________________________________________________________________________

CAMP ADMINISTRATOR DATE



DATE CHILD ENTERED_________________________ ENDING DATE____________________


PLEASE NOTE: ATTACH APPROPRIATE PAPERWORK, SUCH AS DIVORCE DECREE,

IF PARENT IS NOT ALLOWED TO PICK UP CHILD.


GENEALOGY PATHFINDER MARCH 2012 PLACES TO START
0 MEMORANDUM DATE MARCH 8 2006 SUBJECT ACTION
0 N097516 MARCH 25 2010 CLA290OTRRNCN4405 CATEGORY CLASSIFICATION TARIFF


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