Winter Break 2023–2024 Camp Enrollment

1. Fill out the form below that corresponds with the week that your child will attend camp.

2. If your child is attending single day(s) of camp instead of the full week, list the specific dates in the form that they will attend.

3. If you wish to register your child for multiple weeks of camp, fill out the form that corresponds with their first week of camp, then list the dates of the additional weeks they would like to attend in the form.

4. Choose between a half day or full day Winter Break Camp program.

5. After submitting this completed form online, call or stop by our office to submit your 50% deposit (required to hold your child’s spot). The remaining balance payment is due 4 weeks prior to camp.

For pricing info, check our winter break camp page.

Note: Full day campers must also register for Teamed Up Camp with Young Chef’s Academy.

December 26–29, 2023

Winter Break 2023-2024, December 26–29 Camp Enrollment

Student Name

First Name

Last Name

Age

Date of Birth

YYYY

Half or Full Day Program

Attendance Days

December 26–29, 2023

Single Day(s) of Camp

Additional Weeks of Camp

If you selected "Single Day(s) of Camp" above, please list the specific dates that your child will attend.

Example: December 27–28

If you selected "Additional Weeks of Camp" above, please list the dates of the additional weeks that your child will attend.

Example: January 2–5

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 1 Name

First Name

Last Name

Parent 1 Cell Number

(###)

###

####

Parent 1 Email Address

Parent 2 Name

First Name

Last Name

Parent 2 Cell Number

(###)

###

####

Parent 2 Email Address

Additional Notes

I know of no impairment that would affect or be affected by the student’s participation in any Twist Gymnastics activity and I agree to notify Twist in writing if I learn that the student has or incurs any such impairment. I give Twist, its owners and operators, permission to seek medical treatment for the student in the event that they are not able to reach a parent or guardian, and permission to transport the student to the appropriate hospital, if necessary. Consent Agreement: From time to time we promote activities and celebrate student achievements on our social media pages. Please sign the consent to give us permission to publish your child’s image, video and/or name (we use first names only). As the legal guardian of the child listed above on this form, I agree that gymnastics or any activity that involves motion, rotation, and height in a unique environment carries with it a reasonable assumption of risk. Twist Gymnastics is bound by law to inform all participants and their parents or guardians of the risk involved in the activity of gymnastics. Anyone participating in the Twist Gymnastics program (along with those legally responsible for the participant) must sign this release and adhere to the safety rules governing the gymnasium. By the very nature of the activity, gymnastics carries a risk of physical injury. No matter how careful the gymnast and the coach are, no matter how many spotters are used, no matter what height is used, no matter what landing surface, the risk cannot be eliminated. Reduced, yes, but never eliminated. The risk of injuries includes minor injuries such as bruises, and more serious injuries such as broken bones, dislocations, and muscle pulls. The risks also include catastrophic injuries such as permanent paralysis or even death from landing or fall on the back, neck or head. In consideration of Twist Gymnastics acceptance of the applicant(s), and in the consideration of the applicant’s opportunity to improve gymnastic skills through the use of Twist staff, equipment and facilities, those legally responsible of the named enrolling student(s) realize the risk of injury involved and hereby agree to assume the responsibility of such for said student(s), and further agree to save and hold harmless Twist Gymnastics, its employees, and all others concerned, and to indemnify them against loss. Intending to be legally bound, our signature is offered hereto: By signing below electronically, I acknowledge the above release and agree to abide by the Rules and Regulations of Twist Gymnastics.

(Parent's Electronic Signature)

Date

YYYY

January 2–5, 2024

Winter Break 2023-2024, January 2–5 Camp Enrollment

Student Name

First Name

Last Name

Age

Date of Birth

YYYY

Half or Full Day Program

Attendance Days

January 2–5, 2024

Single Day(s) of Camp

If you selected "Single Day(s) of Camp" above, please list the specific dates that your child will attend.

Example: January 3-4

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 1 Name

First Name

Last Name

Parent 1 Cell Number

(###)

###

####

Parent 1 Email Address

Parent 2 Name

First Name

Last Name

Parent 2 Cell Number

(###)

###

####

Parent 2 Email Address

Additional Notes

(Parent's Electronic Signature)

Date

YYYY