Cheer Camp Registration

Cheer Camp Registration

NHA Gym - 1093 Flat Rock Rd., Stockbridge, GA 30281-2729
Monday, June 4, 2018 - Friday, June 8, 2018

9:00 am - 12:00 pm
Camper's Information
Camper's Name *

First Name Last Name

Address *

Birth Date *

Month Day Year
T-shirt, shorts and hairbow are included in registration price of $150
T-shirt size

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Shorts size

Youth Small Youth Medium Type option 3 Type option 4
Parent/Guardian Information
Parent/Guardian Name

First Name Last Name
Parent/Guardian Address Same As Athlete?

Yes No (Please provide address below)

Address

Home Number

Area Code Phone Number
Cell Number

Area Code Phone Number
E-mail
Emergency Information
Emergency Contact's Name

First Name Last Name
Relationship
Phone Number

Area Code Phone Number
Alt. Phone Number

Area Code Phone Number
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the camper prescribed an inhaler? If yes, please explain any instructions.
Payment Info

NHA will accept payment by check or cash in the office or you may click below to pay online.
Cancellation Policy

No refunds will be made after May 29, 2018
Payment Type
Please Indicate how you will be paying
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Payment Info