summy gym registration - Henry Sibley High School

Henry Sibley Summer Gymnastics
Henry Sibley Gymnastics will be offering summer gymnastics camps! We will have 3 camps over June and July. You will be able to sign
up for one, two or three camps! Classes will be offered Tuesdays, Wednesdays and Thursdays. You can sign up for 1,2 or 3 classes a
week. You can come as much or little as fits into your budget and schedule!!
See below for all the great offers!
To Register go to this link:
http://goo.gl/75Xesc or mail in the attached form-
to: 1355 Dodd Rd. Mendota Heights, MN 55118
Kids Classes:
Tykes- Ages 4&5- 1 hour-
Beginner Level-
Intermediate Level-
Advanced Level-
Basics: somersaults, rolls, beam
walks/jumps, jump on vault,
beginning cartwheels, hangs and
Basics: cartwheels, handstands,
back extensions rolls,
arabesques, forward rolls on
pullovers on bars.
beam, beginning vaults and more
Need to be able to do cartwheels,
handstand forward rolls, basic
vaults, jumps and turns on beam,
pullovers with minimal assistance.
Questions please ask-
Tumbling-back-handsprings, long
hang pullovers, handspring vaults,
cartwheels on beam. Working
towards skills needed for high
school level.
Camp #1: June 17- 26th
Camp #2: July 7- 18th
Camp #3: July 21- July 31st
Tuesdays, Wednesdays ,Thursdays
Prices and times
Class Times:
* Tykes: 12:00-1:00pm
* Beginner: 12:00-1:15pm
* Intermediate: 12-2pm
* Advanced: 12- 2pm
Tuesdays,
Wednesday and/or
Thursdays.
Tykes:
Beginner:
Intermediate
Advanced:
6 classes(3x week): $60
4 classes(2x week): $40
2 classes(1x week): $20
6 classes(3x week): $70
4 classes(2x week): $50
2 classes(1x week): $25
6 classes(3x week): $80
4 classes(2x week): $60
2 classes(1x week): $30
6 classes(3x week): $80
4 classes(2x week): $60
2 classes(1x week): $30
Tuesdays,
Wednesday and/or
Thursdays.
* Daily Rate - $10
Tuesdays,
Wednesday and/or
Thursdays.
* Daily Rate - $12
Tuesdays,
Wednesday and/or
Thursdays.
* Daily Rate - $13
Tuesdays,
Wednesday and/or
Thursdays.
* Daily Rate- $13
******************************************************************************************************
For Girls going into grades 7-i2- HIGH SCHOOL CLASSES
th
th
Henry Sibley Gymnastics will be offering Summer classes for girls going into grades 7 -12 this summer!! We will have 3
“camps” over June and July. You will be able to sign up for one, two or three camps! Classes will be offered Tuesdays, Wednesdays and Thursdays. You can
sign up for 1,2 or 3 classes a week. You can come as much or little as fits into your budget and schedule!! See below for all the great offers!
Classes will be offered 9-11am.
High School RATES:
Daily Rate: $23
2x Week: $45
3x Week: $68
Full 6 weeks- 3x week- $375
Registration Form Parent/Guardians Name: ____________________________ Phone: _______________________
Email: ____________________________
Address:______________________________________________
EMERGENCY CONTACT: ________________________________
Phone: ____________________________
Concerns or Allergies: ______________________________________________________________________
Childs Name: _____________________ Age:_______ Grade:_____ Class: ______________ Camp(s)_______________________
Days a Week: _________
Childs Name: _____________________ Age:_______ Grade:_____ Class: ______________ Camp(s)_______________________
Days a Week: _________
Childs Name: _____________________ Age:_______ Grade:_____ Class: ______________ Camp(s)_______________________
Days a Week: _________
DAYS TO ATTEND:
Camp 1: (circle)
DAYS TO ATTEND:
Camp 2: (circle)
DAYS TO ATTEND:
Camp 3: (circle)
Tuesday June 17
th
Wednesday June 18
th
Thursday June 19
Tuesday July 8
th
Wednesday July 9
th
Thursday July 10
Tuesday July 22
rd
Wednesday July 23
th
Thursday July 24
th
th
Tuesday June 24
th
Wednesday June 25
th
Thursday June 26
th
th
Tuesday July 15
th
Wednesday July 16
th
Thursday July 17
nd
Payment:
Amount Due:______
Credit
th
Tuesday July 29
th
Wednesday July 30
st
Thursday July 31
Cash
Check
GYMNAST WAIVER FORM
Gymnast Name:________________________________________________________________
I hereby authorize the staff at the Henry Sibley Gymnastics Summer Gymnastics Camp to act for me according to their best judgment in
any emergency requiring medical attention, and I hereby waive and release Henry Sibley High school from any and all liability for any
injuries or illness incurred while at Henry Sibley’s gymnastics class. I understand that participation in gymnastics activities involve
motion, rotation and height in a unique environment and as such carries with it the risk of injury. Henry Sibley is not responsible for
personal items that are lost, stolen or damaged. All medical expenses incurred will be the responsibility of the gymnast or the gymnast’s
family. In lieu of medical certificate signed by a medical doctor, I have no knowledge of any physical or mental impairment that would be
affected by the named gymnast’s participation in the program, as outlined in the brochure, which I have read. I also understand that Henry
Sibley’s Gymnastics program retain the right to use any photographs, video tapes, motion picture recordings, or any other record of this
event for publicity, advertising, or any legitimate purpose.
Sign Here:
_____________________________________________________________
Parent/Guardian
Date
________________________