2013 ~ KAATS SURVIVOR CAMP "No Fear Spoken Here"

1. 2013 ~ KAATS SURVIVOR CAMP "No Fear Spoken Here" Camp Location (directly off Hwy 52): KAATS Gymnastics, Inc. 191 County Road 11 NW Pine Island, MN 55963 Phone: 507-356-8933 Web site: www.kaats.com E-mail: kaatsgym2@aol.com Survivor Camp Price: (meals included) $175 (early bird) or $190 after May 1st. Full tuition must be received with the completed registration form below. Survivor Camp Schedule: 8:45 am - 2:45 pm Thursdays are Camp Overnighters Final Program Friday at 10:00 am Survivor Camp Date: (space is limited, register early!) Camp : JULY 17th – 21st Camp fee includes all meals, craft project material, and CAMP T-SHIRT* OPEN TO ALL GYMNASTS — ALL AGES—ALL LEVELS (KAATS Office Use Only) (cut here and return with full payment by MAY 1st to receive the discounted price. Registrations received after May 1st must pay the $190 rate per week, stated above. All registrations taken on a first come, first served basis). Registration Form: Gymnasts Name: _____________________________ Parent(s): __________________________________ Age: ________ DOB: ____________ Phone (day) __________________ (evening) __________________ Address: ________________________________________________________________________________ Medical Problems: _______________________________________________________________________ Camp Session (circle): Camp 1 Adult T-Shirt Size (circle): XS S M L XL I fully understand that gymnastic activity may be dangerous and that the gymnast is exposed to the risk of injury. I hereby give permission for my daughter/son listed above to participate in the program and activities at Kathy’s All-American Training Center (KAATS) and release the Club and Coaches from any liability resulting from participation. Parent/Guardian Signature ______________________________________ Date __________________ Date received ________ Camp Payment received _______ Check # ___________ Staff Initials ___________