2017 Summer Fun Guide
CAMPS
• Kidsports • Gymnastics & Tumbling
PROGRAMS
• Youth Fitness • Swimming • Gymnastics
Take 1
0%
of f cam
p
when
you sig
n up
by Apr
il 30th
!
1
TABLE OF CONTENTS
Kidsports Camp3-4
Gymnastics & Tumbling 5
Youth Fitness Program
6
Swimming/Sharks 7-8
Gymnastics 9
Special Events10-11
Camp Registration12-13
Dear Parent:
As the General Manager of Ochsner Fitness Center, I would like to take a moment to share with you all of the
wonderful benefits Ochsner Fitness Center has to offer your family with our “fun & fit” summer camp programs.
Our dedicated team has taken special care to develop a variety of summer camp programs that are sure to meet
the needs of your family this summer. Whether you decide to take advantage of the Kidsports Summer Camp,
Youth Fitness Program or the Elmwood Gymnastics & Tumbling Camp, we pledge to provide your child with the
best summer camp experience ever!
All of our camps are designed to provide an environment in which kids can have fun while developing physically,
socially and emotionally, ultimately enhancing each child’s self-esteem. Each of our camps are professionally
designed to expand their knowledge and physical capabilities in areas such as sports, fitness, nutrition, arts,
social skills, health, safety and much, much more. Our staff members, camp counselors, instructors and certified
coaches are caring, trained professionals eager to work with your children and inspire their confidence!
Ochsner Fitness Center is a family-friendly fitness club for members of all ages and abilities, and everyone on our
staff is CPR certified.
Thank you for choosing Ochsner Fitness Center’s Summer Camp Programs to meet all of your family’s “fun &
fitness” needs this coming summer.
If you have any questions or concerns about your child’s summer camp experience, please feel free to contact us
at 504-733-1200.
Sincerely,
Randy Strassel
General Manager
Ochsner Fitness Center
2
XTREME CAMP OVERVIEW
Staff: The Kidsports staff members are caring professionals who have been trained to work with children. They are all looking forward to helping your child have the best summer camp experience ever!
Philosophy: The purpose of the Kidsports Summer Camp is to provide children with a unique, non-competitive, positive growth experience. The environment provides a place in which they can play, have fun, enhance self-esteem and at the same time develop physically, socially and emotionally.
Facility: We have an 18,000 sq. ft. building filled with age appropriate apparatus designed specifically for children. Our two story complex has designated areas with fun filled activities for every age group, as well as outdoor play facilities. Plus, our Summer Camps include access to the pools and other facilities of Ochsner Fitness Center for specific activities.
XRKade: Come and experience the latest in interactive gaming and technology. XRKade offers a safe and fun interactive environment for gamers of all ages to enjoy the excitement of video games while receiving the benefits of physical activity. The fun
includes kick boxing, wii gaming systems, XBOX 360 kinect, Light Space floor and much more!
Other Activities: Each week your child will participate in one or more special activities such as indoor and outdoor sports, arts and crafts and guest speakers. Plus, our very own Adventure Challenge – a complete Physical Entertainment Center. The Adventure Challenge includes 100 yards (the full length of a football field) of ropes, slides, obstacles and other fun challenges. Experience our Adrenaline Rush (a 40’ inflatable obstacle course) plus our 40’ trampoline.
Field trips: Lunch & Snacks: Kidsports Camp (5 - 12 years old) will include one field trip to a local fun filled sight every week.
Pool: Kidsports is excited to offer pool usage as a part of our camp agenda. The outdoor area offers endless fun in the sun. Certified lifeguards will be on duty for all water activities.
Extended day: Before Care Hours: 7:00 to 9:00 a.m. Before care is $25 per week.
After Care Hours: 4:00 to 6:00 p.m. After care is $25 per week.
Fees: A $35.00 camp registration fee per child or $50.00 per family is required. This fee is non-applicable towards camp fees.
Accepted payment methods for camp fees include either a debit or credit card.
It is necessary for the parent to sign an authorization form which allows us to automatically charge the weekly fees for each child in camp. Each Monday of camp, the debit or credit card on file will be charged for that particular week’s fees.
It is important to note that if you have designated a particular week of camp which you plan for your child or children to attend, and the child or children do NOT attend camp, there is a weekly fee per child
of $25.00 for non-attendance. This fee will be automatically charged to the payment method which you have designated and is non-refundable, nor applicable toward other weeks of camp.
Costs: OFC members
1-6 weeks = $170 • 7-12 weeks = $155 • 13+ weeks = $145 — all rates are per child per week
Non-members 1-6 weeks = $180 • 7-12 weeks = $165 • 13+ weeks = $155 — all rates are per child per week
*Ask about Ochsner employee discount.
Camp fees include the cost of field trips (ages 5 through 12 only). A $5.00 surcharge will be accessed for any changes made to the registration form in regards to weeks denoted. All fees are non-refundable.
Questions: Call 504-733-1200.
Registration Form on pages 12 and 13.
3
Snacks will be provided by Kidsports staff. Bagged lunches may be purchased weekly or daily for an additional fee.
Bag lunch = $30 plus tax per week. $6 plus tax per day. Pizza Day – Every Mon., Wed. & Fri. – your child may purchase
pizza for lunch for $6.
SUMMER CAMP FIELDTRIPS
May 15-19 Early birds*
May 22-26 Big Top Fun
For those kids who are already out of school and ready to beat the summer
heat! We’ll get a head start on the fun!
*(Camp sold at a daily rate this week only)
Step right up for fun at the “Greatest camp on earth” circus week. We’ll get summer started with games, dress up days, face painting and a carnival
themed party.
May 29-June 2 Super Summer
We’ll bring together our own team of super hero’s for fun and action packed games! We will have a Super time at the Adventure Quest Laser Tag.
June 5-9 Naturally Nawlins
Boudreaux’s coming to Kidsports to help us out with some fun and games.
Then, “We’ll root, root, root, for the home team” as the Baby Cakes take on the
memphis Red Birds at the Shrine on Airline.
Who Dat ready for some Football! We’ll have a Saintsational time at the Saints Gatorade Jr.Training Camp!
June 12-16 Black-n-Gold
Everyone’s a winner at our Kidsports Olympics. We will see performances by
June 19-23 Game Galore
our top Gymnasts & Tumblers with Regional and National recognition at
The Elmwood Gymnastics Academy.
June 26-30 Sports Spectacular
July 3-7 Fun in the Sun
(closed July 4th)
July 24-28 Movie Madness
This week we’ll celebrate the great USA. Campers can write letters to send to
our troops. Let’s show how proud we are of the “red, white, and blue” at a patriotic picnic with water activities and water melon!
July 10-14 Kidsports Idol
July 17-21 Wild West
Sports Spectacular is designed for kids who like to play all kinds of sports.
A variety of seasonal sports and games will be sampled in this camp.
We’ll rock-n-roll at Airline Skate Center.
Between your child’s imagination and our counselor’s creativity, your child will definitely be “shooting for the stars.” We will have our best talent show ever,
as we prove “Kidsports’ Got Talent”.
Howdy Partner! This week’s games, crafts and dress day will be western
inspired! We’ll make’em “reach for reach for the sky” at Adventure Quest
Laser Tag.
This week campers will play games and have dress up days geared around
our favorite Movies! We’ll have a million laughs at the AMC Palace 20
July 31 - August 4 Back to School Bash This action-packed and fun filled week will highlight some of our campers’
favorite games, dress up days and activities. We will “be true to your school”
at the School Spirit Party.
Aug. 7-11 & 14-18 * Louisiana Lagniappe
Extra! Extra! The fun’s not done! We’ve added a week to accommodate those
campers who aren’t due back to school just yet.
4
*(Camp sold at a daily rate for this week only)
GYMNASTICS & TUMBLING CAMP
Location: Elmwood Gymnastics Academy, 700 Elmwood Park Blvd, Suite C, Harahan, LA 70123
Philosophy: To provide children the best opportunity to learn, develop and advance their gymnastics, tumbling, trampoline in a positive and fun learning environment.
Staff & Facility:
Our staff of professional, safety certified instructors and coaches will provide your child with a positive, exciting learning experience in our 18,000 square foot air-conditioned facility. This includes: Bars, Beams, Vaults, Trampolines, 100 foot Tumbling Strip, 60 foot Tumble Trak, Double Mini Trampoline, 2 full Spring Floors, Inflatable’s and much more.
Camp Program:
Campers will spend their days experiencing Gymnastics, Tumbling/Trampoline. Each Friday afternoon, we will host a
Flipping Fun performance for parents that will combine the skills your child has learned that week!
Other Activities:
Recreational swimming and S.S. Fun Ship will be provided twice a week. Certified lifeguards will be on duty at all times.
They will also participate in arts and crafts projects, obstacle courses and fun games!
Ages:
3 years old & up. No experience necessary.
We will assess and group campers based on their age and ability level.
Preschool Camp:
Lunch & Snacks: 3 to 5 years old and must be potty trained.
NEW Preschool Gymnastics Facility - 2,200 square feet of fun and fundamentals!
Campers will spend their fun-filled days working on listening, coordination and basic motor skills while working on actual gymnastics and tumbling skills using downsized equipment specially-designed for this age group. Camp Program and Other Activities are the same as the regular camp, with the exception of a resting / nap time for this age.
FEES: A $35.00 camp registration fee per child or $50.00 per family is required. This fee is non-applicable towards camp fees.
Accepted payment methods for camp fees include either a debit or credit card.
It is necessary for the parent to sign an authorization form which allows us to automatically charge the weekly fees for each child in camp. Each Monday of camp, the debit or credit card on file will be charged for that particular week’s fees.
It is important to note that if you have designated a particular week of camp which you plan for your child or children to attend, and the child or children do NOT attend camp, there is a weekly fee per child of $25.00 for non-attendance. This fee will be automatically charged to the payment method which you have designated and is non-refundable, nor applicable toward other weeks of camp.
Costs: Your weekly cost of camp is determined by the total number of weeks of camp you buy.
OFC members 1-6 weeks = $170 • 7-12 weeks = $155 • 13+ weeks = $145 — all rates are per child per week
Non-members 1-6 weeks = $180 • 7-12 weeks = $165 • 13+ weeks = $155 — all rates are per child per week
*Ask about Ochsner employee discount.
Camp Hours: Monday - Friday 9:00 am - 4:00 pm
Extended Day: Before Care Hours: After Care Hours: Registration:
To officially register for camp, you must turn the following items in to the front desk:
1) A completed Camp registration form (front & back) – see pages 10 and 11.
2) $35 registration fee for one child or $50 for more than one child.
3) A signed authorization for our use to charge the weekly fee of either camp fees or a $25 non-attendance fee if applicable.
Note: A full schedule of summer classes is also available in our pre-school, school age gymnastics and tumbling programs.
Call Elmwood Gymnastics Academy at 504-733-4496 for more information.
5
Pizza and/or Bag Lunches may be purchased weekly or daily for an additional fee.
Mondays, Wednesdays and Fridays
Pizza: $6 plus tax per day
Tuesdays and Thursdays
Bag Lunch: $6 plus tax per day (Hot dog, PB&J or Turkey sandwich)
Weekly Lunch Lunch per Week: $30 plus tax per week
7:00 am - 9:00 am – $25 per week / per child
4:00 pm - 6:00 pm – $25 per week / per child
YOUTH FITNESS PROGRAM
Youth Fitness offers participants many physical benefits associated with sports and fitness activities including balance and
aerobic capacity. This department has weight and cardio workout equipment geared for children ages 8-13 years of age.
An individual program is set up for each child to follow to meet the child’s needs and goals. Youth Fitness is located in
Kidsports building of Ochsner Fitness Center. We also have a variety of group fitness classes including cardio, stretching
and resistance workouts.
Summer Youth Fitness Hours
May 21, 2017 - August 11, 2017
Open Gym Hours are Monday - Thursday 4:30 pm - 7:30 pm, Friday 4:30 pm - 6:00 pm, and Saturday 10:00 am - 11:00 am
Group Fitness Classes
Classes are held Monday - Thursday at 5:30 pm including Sculpting, Having a Ball, Back to Basics, Cardio Cycle and Boot
Camp Classes.
Monthly Fees for the youth fitness program
Members
$15 Single $30 Family RegistrationNon-membersRegistration
$12 register fee
$45 first child $12 register fee
$20 register fee
*(Children Only)
I CAN DO IT PROGRAMS
A weight loss program for children ages 8 -14. This program will introduce you and your child to healthy habits that can
lead to a lifetime of fitness and health. “I Can Do It” combines physical activity and nutrition – both essential elements
in loosing body fat and maintaining a healthy weight. Children will increase their strength and endurance in a fun and
positive atmosphere. This 12 week program includes (3) interval training sessions per week including cardio and weight
training, 4 nutrition lectures and a Healthy Cooking demonstration. For cost and times, please contact Alaina Wertz at
504-842-9524.
The 2017 start dates for the I Can Do It Program are April 10, July 10 and October 2.
For more information on any of these programs, visit ochsnerfitness.com or
contact Alaina Wertz at 504-842-9524 or by email at [email protected].
6
SWIMMING PROGRAM OVERVIEW
Beginner / Advanced Beginner Lessons (ages 3 - 14)
8 45-min. lessons (M-Th 2 week sessions)
9:30am, 10:30am, 3pm, 4pm, 5pm, 6pm
CHILDREN’S WEEKDAY SWIM LESSONS (Harahan location)
WATER BABIES (Harahan location)
4 30-min. lessons / monthly session (ages 6 months - 3 years old)
Saturday mornings at 9am (Harahan Location)
Sunday evenings at 4pm (Harahan Location)
CHILDREN’S COMPETITIVE WEEKDAY SWIM LESSONS
PRIVATE LESSONS
(Harahan location)
Competitive Lessons (ages 3 - 14)
8 45-min. lessons (M-Th 2 week sessions)
10:30am, 4pm
TODDLER’S WEEKDAY SWIM LESSONS (Harahan Location)
30-min. and 45-min. lessons available at Harahan
(By appointment only)
SUMMER CAMP LESSONS
Beginner / Advanced Beginner / Competitive Lessons
4 40-min. lessons (M-Th 1 week sessions)
Beginner Lessons (ages 2 - 3)
8 30-min. lessons(M-Th 2 week sessions)
9am, 11:30am
ADAPTIVE SWIM AQUATICS
CHILDREN’S SATURDAY SWIM LESSONS (Harahan Location)
TODDLER SATURDAY SWIM LESSONS
Beginner / Advanced / Competitive Lessons (ages 3 - 14)
4 45-min. lessons (Saturday)
10am, 11am, 12pm
Sundays (by appointment only)
(Harahan location)
Beginner Lessons (ages 2 - 3)
4 30-min. lessons (Saturday) 9am
ADULT SWIM LESSONS (Harahan location)
8 45-min. lessons / monthly sessions (ages 14 & up)
Monday / Wednesday 7:00pm
CLASS DESCRIPTIONS (Harahan Location)
1) PRIVATE LESSONS – for individuals who need special instruction at their convenience. Beginner, competitive swimmers and triathletes
are welcome. For 4 thirty-minute lessons, the fee is $130 for members and $150 for non-members.
2) BEGINNER LESSONS – four to five children per instructor for children three years to fourteen years of age. Most beginners start at this
level. All instructors are WSI Certified through the Red Cross. Classes are held Monday through Thursday in two week sessions at 9:30am, 10:30am,
3pm, 4pm, 5pm, 6pm. The fee for 8 forty-five minute small group instruction lessons is $140 for members and $170 for non-members.
3) ADVANCED BEGINNER LESSONS – four to five children per instructor. Classes are for students who need to become more
efficient and learn freestyle and back stroke. All instructors are WSI Certified through the Red Cross. Classes are held Monday through Thursday in
two week sessions at 9:30am, 10:30am, 3pm, 4pm, 5pm, 6pm. The fee for 8 forty-five minute small group instruction lessons is $140 for members
and $170 for non-members.
4) COMPETITIVE LESSONS – six to eight children per instructor. This class is designed to promote strong swimming skills which will last
a lifetime. We cover four competitive strokes, racing starts and finishes. A great opportunity for summer league swimmers. Classes are held Monday
through Thursday in two week sessions at 10:30am and 4pm. The fee for 8 forty-five minute lessons is $140 for members and $170 for non-members.
Equipment needed: goggles, racing suit, cap (for girls) and swim fins.
5) TODDLER SWIM LESSONS – two to three children per instructor. Class is designed for two and three year old children.
All participants work independently. Students work on safety skills and advanced movement through the water. All instructors are WSI Certified
through the Red Cross. Classes are held Monday through Thursday in two week sessions at 9am and 11:30 am. The fee for 8 thirty minute lessons is
$120 for members and $140 for non-members.
6) ADULT SWIM LESSONS – for individuals fourteen and over who wish to learn or become a more efficient swimmer. Classes are held
on Monday and Wednesday at 7:00pm. The fee for 8 forty-five minute lessons is $140 for members and $170 for non-members. This class is offered
on a monthly basis.
7) WATER BABIES – For children six months to three years old (children must be accompanied by an adult). Give your child a head start in
swim lessons. Classes are held on Saturday mornings at 9am or Sunday evenings at 4pm. Each month begins a new session. The fee for 4 thirtyminute lessons is $45 for members and $55 for non-members.
8) SUMMER CAMP LESSONS – Beginner/Advanced/Competitive lessons will be held during Summer Camp. Each session will be held
Monday through Thursday. The fee for 4 forty-minute lessons is $50 for members and $60 for non-members. Registration must be done at the
Kidsports front desk.
7
For more information, please call the Aquatics Department at 504-736-4762.
All registration done at the front desk at the harahan location.
SWIMMING PROGRAM SCHEDULE (Harahan location)
Summer 2016
Children’s Weekday Swim Lesson Sessions
Summer 2016
Children’s Saturday Swim Lesson Sessions
Session 1 (4 lessons per session) Session 2 (8 lessons per session) Session 3 (8 lessons per session) Session 4 (8 lessons per session) Session 5 (8 lessons per session) June (4 lessons per session) July (4 lessons per session) August (4 lessons per session) May 29 - June 1
June 5 - June 15
June 19 - June 29
July 10 - July 20
July 24 - Aug 3
Children are to report to the location listed below:
June 3, 10, 17, 24
July 8, 15, 22, 29
August 5, 12, 19, 26
Harahan Location – Weekday Lessons:
Harahan Location – Saturday Lessons:
9:00 am
9:30am 10:30am 10:30am 11:30am
3:00pm 4:00pm 4:00pm 5:00pm 6:00pm Toddler
Beginner/Advanced Competitive
Beginner/Advanced
Toddler
Beginner/Advanced Competitive Beginner/Advanced Beginner/Advanced Beginner/Advanced Indoor Recreational Pool
Outdoor recreational pool
Outdoor 6 lane pool
Outdoor recreational pool
Indoor recreational pool
Indoor recreational pool
Indoor 6 lane pool
Indoor recreational pool
Indoor recreational pool
Indoor recreational pool
9:00 am
10:00am 10:00am 11:00am 12:00 pm
Toddler
Beginner/Advanced Competitive
Beginner/Advanced
Beginner/Advanced
Indoor Recreational Pool
Indoor recreational pool
Indoor 6 lane pool
Indoor recreational pool
Indoor recreational pool
Water Babies Adult Lessons
June – August Session Saturday 9:00 am
Indoor Recreational Pool Sunday 4:00 pm
Indoor Recreational Pool
June – August Session
Monday & Wednesday
7:00pm – 7:45 pm
Indoor Recreational Pool
SHARKS PROGRAM
Ochsner Fitness Center is the best place in the state for swimmers of all ages and abilities.
Elmwood Sharks Summer League
JCCA Competitive Summer Swim Team is for Elmwood Members only. The season begins on: May 24
The fee for this program is: $150.00
Practice times are as follows:
May 22, 24 all ages practice 5:00 pm - 5:45 pm
May 30 – July 21
10 and Under practice at 8:00am – 8:40am Monday, Tuesday, Thursday and Friday
11 and Older practice at 8:40am – 9:25am Monday, Tuesday, Thursday and Friday
Elmwood Sharks USA Competitive Swim Team
This is a year round program designed for those swimmers who wish to commit to swimming throughout the year in order to better develop their
skills. This program has levels to fit individual preferences. Participation is available to members as well as non-members.
8
GYMNASTICS PROGRAMS
Gymnastics Academy
Gymnastics is great exercise – it inspires confidence and encourages children to constantly strive for excellence while having fun.
Elmwood Gymnastics Academy offers comprehensive instructional and competitive programs for children of all ages and abilities in Artistic
Gymnastics, Tumbling and Trampoline. Our teams consistently place high in competitive meets, with several teams and individuals earning national
recognition each year. The Gymnastics Academy is professionally staffed with certified coaches and instructors who take pride in offering classes of
the highest quality in a positive and caring atmosphere.
Pre-school:
New 2,200 square feet of additional classes, equipment & age specific fun! Elmwood’s pre-school program teaches even the youngest toddler
coordination and basic motor skills while working on actual gymnastic and tumbling skills using downsized equipment specially-designed for their
age group. We offer parent and toddler classes through Kindergarten classes. Classes are 45 minutes. The classes are a fun-filled and wonderful
learning experience for your little one. These classes and we offer tiny tots which is a parent and child class and we also offer pre-school gymnastics
for children ages 3-5 years of age. We will devide the children by their age and ability level. We allow 8 children per one coach.
Tiny Tots:
Pre-school Gymnastics: Walking to 3 years old
3 - 5 years old
Tumbling & Trampoline:
Elmwood offers Tumbling and Trampoline classes from Kindergarten to High School for the beginners to the most advanced including
competitive teams up to the elite levels. All of our recreational classes are taught with the best techniques to attain the highest skill level possible
while maintaining maximum safety. These classes are great whether looking to improve skills for cheerleading, competitive teams or just plain
fun. Elmwood’s coaching staff includes members of the USA Gymnastics National Coaching staff and Elite Athletes from World Championship
teams from 1974 to 2015. All coaching staff is USA Gymnastics and Safety Certified. Our competitive team members have competed in many world
championships and include many State, Regional and National Champions.
Beginner Tumbling
Teen & Adult Tumbling
Intermediate TumblingTrampoline
Advance TumblingCompetitive Teams
Artistic Gymnastics Program:
Elmwood Gymnastics Academy offers classes for the very beginner to the most advanced, ages five and up. Classes are offered six days a week,
including instruction on all apparatus: vault, uneven parallel bars, balance beam and floor exercise. In addition to apparatus work, our students are
also taught the importance of warming up and strengthening their bodies.
Elmwood Gymnastics has the largest competitive artistic Junior Olympic team in the metro area, competing at levels 1-10. We also compete at the
Excel levels (a new program developed by USA Gymnastics to offer the recreational student a chance to compete and be a part of a competitive
team). We have a large pre-team program as well: Hot Shots pre-team and Excel pre-team.
We have several college athletic scholarship recipients, as well as Regional and National competitors and champions. All coaches are USA
Gymnastics members and are safety certified.
Beginner Gymnastics
Intermediate Gymnastics
Advance Gymnastics
Competitive Teams
Gymnastics Birthday Parties:
Have your child’s next party at Elmwood Gymnastics Academy! Activities include stretching, followed by a combination of beam, bars, vault, floor,
trampoline, tumble trak, rope swing and spacewalk. We can take care of everything, including your choice of food. New two hour party packages
available!
Kids Night:
Parents, plan a Friday night out and let us entertain your children at Kids Night! Activities include Wii Tournaments and free play time in the Gym.
Held on select Friday Nights from 7 - 10pm (call for this month’s dates). Price: $15 first child, $13 per sibling. Pizza and a drink: $3 extra.
For upcoming dates or pre-registration, please call 504-733-4496.
Contact Elmwood Gymnastics for more information about teams, parties, prices and schedules at 504-733-4496.
9
Let us help celebrate
your next event!
Gymnastics Parties
Field Trips
Adrenaline Rush Parties
Kids Night
Swim Parties
Special Events
XRKade/ Maze Parties
Holiday Camps
For more information,
please call, 504-733-1200.
10
Ask Us About Our…..
TGIF Kids Night
Kidsports Neon Nights
Poolside Movie Nights
Gymnastics Flipping Fun Night
!!!! Campers get a Discount !!!!
For more info: Kidsports 504-733-1200
Gymnastics 504-733-4496
11
...................................................................................................................................................................................................................................................
CAMPS REGISTRATION
Sec.#
(for official use only)
Camper’s Name____________________________ Age___________Sex_____________ Date of Birth_____________________________
OFC Member? YES_____________NO _____________ OFC #____________________________________________________________
Is Parent an Employee of OFC? YES
NO
Ochsner Clinic Foundation? YES
NO
T-Shirt Size: Child’s S M L Adult’s S M L XL
Home Address_______________________________________ City__________________________ State___ Zip____________________
Home Phone Number_______________________Work (Mother)_____________________ (Father)______________________________
Cell (Mother)______________________________ (Father)________________________________________________________________
E Mail Address ___________________________________________________________________________________________________
Mother’s Name_______________________________________ Father’s Name________________________________________________
Family Doctor_______________________ _________________ Dr.’s Phone Number___________________________________________
In Case of Emergency, contact (other than above)________________________________________________________________________
Relationship to Camper_________________________________Phone Number_______________________________________________
CIRCLE THE DATE OF THE CAMP OR CAMPS THAT YOUR CHILD PLANS TO ATTEND. PLEASE PLACE A CHECK IN THE
DESIGNATED BOXES IF BEFORE CARE, AFTER CARE OR A BAG LUNCH IS NEEDED.
Kidsports Camp - Ages 3-12
Gymnastics & Tumbling Camp
- Girls & Boys, age 3 & up
(Monday-Friday)
Bag
Lunch
(Monday-Friday)
Before After
Care
Care
Bag
Swim
Lunch Lessons
5/15
5/22
5/29
6/5
6/12
6/19
6/26
7/3
7/10
7/17
7/24
7/31
8/7
8/14
Before After
Care
Care
5/22
5/29
6/5
6/12
6/19
6/26
7/3
7/10
7/17
7/24
7/31
8/7
PAYMENT METHOD
All Fees are non-refundable. Please enclose a check, and fill out credit card information along with this completed form and your
registration fee.
Please choose your payment method for weekly camp fee charges:
Credit Card: Visa MasterCard Discover Amex
Card #_______________________________________ Expiration Date_________________________
Name of Cardholder__________________________________________________________________
Cardholder’s Signature________________________________________________________________
Drivers License# of Card holder_________________________________________________________
BE SURE TO COMPLETE AND SIGN THE REVERSE SIDE OF THIS FORM
12
Fax# 504-736-4790
MEDICAL HISTORY Yes No
Medication .......................................................................................................................................................................................... Allergies ...............................................................................................................................................................................................
Asthma ............................................................................................................................................................................................... Kidney Injuries .................................................................................................................................................................................... Heart Conditions or Disease ............................................................................................................................................................
Epilepsy ..............................................................................................................................................................................................
Hearing Problems ............................................................................................................................................................................. Muscle, Tendon or Ligament Problems .......................................................................................................................................... Previous Broken Bones or Other Injuries ........................................................................................................................................ Glasses/Contacts needed for class .................................................................................................................................................. Is there anything else that we should know about the health of your child?.................................................................................. If you answered YES to any of the above, please explain below: (Special Needs)
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Please list anyone that is able to pick up your child from Kidsports Camp along with their Drivers License #.
1)___________________________________________________________ 2)____________________________________________________________
3)___________________________________________________________ 4)____________________________________________________________
I give my permission for any necessary emergency and medical treatment including sutures, setting of bones, injections and anesthesia that may be
required due to injury during Summer Camp. In the case of extreme emergency, the paramedics will bring my child to the nearest available medical
facility. In all cases, decisions of this nature will be left to the discretion of the paramedics. In cases where the paramedics leave an option of which
medical facility to bring my child, please bring my child to_______________________________________ Medical Facility, located at ______________
__________________________. This does not in any way hold the camp financially responsible or otherwise liable for any medical or emergency
care given.
I understand that any weeks denoted are a commitment on my part and that payment will automatically be charged to my chosen method of
payment as indicated above. ALL FEES ARE NON-REFUNDABLE. I UNDERSTAND THAT THE DATES OF CAMP ARE A COMMITMENT AND IF MY
CHILD OR CHILDREN ARE UNABLE TO ATTEND, I WILL BE CHARGED A FEE OF $25.00 PER CHILD PER WEEK AS A NON-ATTENDANCE FEE.
X_____________(INITIAL)
We permit the free use of our name and family members’ names and pictures listed on this application in broadcasts, telecasts, newspapers,
brochures and any other form of communication to which such use may be applied. We permit our child to participate in all activities.
Signed:____________________________________________________________________ Date: ____________________________________________
Parent / Guardian
RELEASE
“I, the undersigned parent and/or guardian of the child I have enrolled in camp, certify that I am aware that my child will be involved in
physical activities such as swimming, volleyball, racquetball, gymnastics, etc., and that I am aware of all inherent risks associated with
these activities. I understand that I will be informed in writing of the activities my child will take part in each week. I, and my child,
understand that my child’s participation in these activities is entirely our choice, and that I give my full consent for my child to take part in these
physical activities.
In consideration of my child being allowed to participate in this Camp program, I hereby release Ochsner Fitness Center, Gymnastics,
Kidsports and Ochsner Clinic Foundation, its successors, employees and agents from any and all liability for any injury or damage which may
occur as a result of the Participant’s participation in the Kidsports/Gymnastics Program including all risk connected therewith, whether foreseen or
unforeseen; and further, agree to save and hold harmless Kidsports, Gymnastics, Ochsner Fitness Center and Ochsner Clinic Foundation, its officers,
employees, directors, and agents, from any claim by the Guardian individually or on behalf of the Participants, his or her family, estate, heirs, or
assigns, arising out of the Participant’s participation in the Kidsports / Gymnastics Program”
Signed:____________________________________________________________________ Date:____________________________________________
13
Parent / Guardian
..................................................................................................................................................................................................................................................
CAMPS REGISTRATION
SWIM LESSONS
•
Year round swim lessons for all ages and
abilities (6+ months to adult)
•
Group and private lessons available
504.733.1600
BIRTHDAY PARTIES
•
A variety of birthday party options for kids
•
Adventure Challenge - Interactive gaming area:
ropes, slides and obstacle courses
•
Adrenaline rush party - Inflatable obstacle
course and 40 foot trampoline
•
Spacewalk, Arts and crafts, and more!
504.733.1200
GYMNASTICS
•
Competitive and non-competitive gymnastics,
tumbling and trampoline classes
•
Nationally and internationally ranked athletes
•
Birthday parties and Kids’ Night Out programs
504.733.4496
LET THE FUN BEGIN!
• Birthday Parties
• Fieldtrips
• Parents Day Out
• Holiday Camps
• Special Events
• Girl Scout Events
• Fundraisers
• Kids Night
• Neon Night
For Inf
ormat
ion,
please
504 -73 call
3-1200