Celestina Popa Gymnastics Inc.
Unit A, 20120 115A Ave.
Maple Ridge, BC, V2X 0Z4
604-459-4458
www.celestinapopagymnastics.com
Registration Form – Summer Camps 2011
Please read our gym rules and policy PRIOR to registration! We reserve the right to cancel the camps if there
is low or no registration. Please circle the desired week, time and age group.
Days/Week
JULY 4 - 8
Time
9.00-12.30
Age group
3-5y; 5-8y; 9+
JULY 11- 15
9.00-12.30
3-5y; 5-8y; 9+
JULY 18-22
9.00-12.30
3-5y; 5-8y; 9+
JULY 25 - 29
3-5y; 5-8y; 9+
AUG. 15- 19
4.00-6.30
9.00-12.30
4.00-6.30
4.00-6.30
AUG. 22 - 26
9.00-12.30
3-5y; 5-8y; 9+
AUG. 8 - 12
Price
3-5y; 5-8y; 9+
3-5y; 5-8y; 9+
Summer Insurance GBC
TOTAL
COST (ALL TAXES ARE INCLUDED, cash or cheque):
-2 ½ h camp is $70/week/child
-3 ½ h camp is $100/week/child
Note: “week” means 5 consecutive days as shown above in the table.
In addition to camp fee add $10/child for Summer Insurance GBC and membership altogether, IF NOT PURCHASED
BEFORE (for new members)!
We will incorporate lots of gymnastics and fun in the gym and snack, craft and games in Birthday
Party room. Please send kids with comfortable clothes and healthy snacks (no pop, candy or gum)!!
Child’s Name _______________________________ Child’s First Name ______________________________
Birthdate (YY/MM/DD) ____________ Age ______ M/F , Home Phone _____________________________
Address ____________________________ City _____________________ Postal Code _________
Medical condition/Allergies _____________________
Parent/Guardian _____________________________Relationship_________Cell ______________________
Signature of Parent/Guardian______________________________________ Date ___________________