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consultations







 
 

Camps are held at TWO LOCATIONS:

Bellaire Gym 4:30-5:30 MONDAYS AND WEDNESDAYS.
†† Tanglewood Gym 4:00-5:00 TUESDAYS AND THURSDAYS.

 

Complete the registration form below and have a terrific time getting fit!

 


  Personal Information
     

Participant First Name:

Participant Last Name:

Age:

Grade:

Date of Birth:

(e.g. 05/25/1975)

Address:

City:

State:

Zip Code:

Home Telephone:

(e.g. 123-456-7890)

Alternate Telephone:

(e.g. 123-456-7890)

Email Address:

(e.g. someone@someplace.com)
     

Parent or Guardian Name:

     

What type of sports do you play?:

     

Camp Location:

     
    *The following information is used to calculate your selected months, weeks or days for your Summer Camp training.  All payments will be calculated prior to check-out.
     
     
Monthly Session:
*Cost - $180.00 per session
 

Weekly Session:
*Cost - $50.00 per session
 
Daily Session:
*Cost - $30.00 per session
 
     
Memo  
     
       CREDIT CARD INFORMATION
     
TOTAL COST:   *Calculated Camp Cost
     
First Name:  

Last Name:  

Billing Address:  

Apt/Suite:

City:  

State:  

Zip Code:  

Credit Card Type:  

Credit Card Number:  

Expiration:  

Card Verification Number:  

Security Code:  

     
LIABILITY & MEDICAL RELEASE


I agree to the above terms

 

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