| Faribault GymnasticsCamp
July 22nd – 25th, 2019           1073 Willow St  Faribault, MN 55021 Our Facility & Equipment   *  40’ in-ground Trampoline *  Two in-ground Trampolines *  20’ x 20’ in-ground foam pit  *  2  In-ground Channel bars *  42' x 42' spring floor *  Nine balance beams *  8 Bar Stations *  3 Vaulting Stations  CAMP FEE     $195.00 Camp fee includes 4 days of training plus T-shirt, and Pizza on Thursday Camp spots will be limited, so please sign up early   We are located in the 1073 Willow Street.   We invite you to call (507) 334-2588 with any questions.     If registering, please make check payable to Faribault Gymnastics and mail to: Faribault Gymnastics 1073 Willow St. Faribault, MN 55021       ScheduleMon-Wed8:45am           Gym Opens9:00                 Stretch and warm-ups9:30                 1st rotation10:10               2nd rotation10:50               Lecture11:10               3rd Rotation11:55               Lunch12:25               Game12:45               Stretch12:55               4th Rotation1:40                 5th Rotation2:20                 Open Gym3:00                 Camp Closes Thursday8:45am           Gym Opens9:00                 Stretch and warm-ups9:30                 1st rotation10:00               2nd rotation10:30               3rd Rotation11:00               Lunch11:30               Stretch11:40               4th Rotation12:10               5th Rotation12:40               Open Gym 1:30                 Camp Closes      Name________________________ B-Date_______________________ Address___________________________ City______________________________ State___________    Zip_________ Home Phone_______________________ Mothers Name______________________ Mothers Cell_______________________ Fathers Name_______________________ Fathers Cell________________________ Contact email_______________________ T-Shirt Size   cs   cm   cl   as   am   al   xl Gymnastics Level please list class level or division competed___________________ Health Insurance____________________ Policy #___________________________ 
Other Emergency Contact w/Phone#       Realizing that the activity for which I am making this application involves a certain amount of risk to me/my child, I hereby agree to assume all such risk or loss, damage or injury to the person and property of my child and to release indemnify Faribault Gymnastics Club and the agents and employees from any and all claims from such loss damage or injury sustained by me/my child while engaging in such activity.  All Gymnasts must be covered by their own medical insurance.     The undersigned gives permission to Faribault Gymnastics Club, its operator and coaches, to seek medical treatment for the participant in the event of any medical emergency.   Signed__________________________________   Date________________ 
 
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