SUMMER FIT AND FUN CAMP APPLICATION FORM
Please print and mail this form or bring it with you to the Tiny Tumblers gym.

Child's name:
__________________________________________________________

Street address:
__________________________________________________________

City and ZIP code:
__________________________________________________________

Phone number:
__________________________________________________________

Emergency phone number:
__________________________________________________________

Child's birthdate and gender:
__________________________________________________________

Any medical conditions we should be aware of?
__________________________________________________________

Food allergies:
__________________________________________________________

Parent's signature:
__________________________________________________________

Parent's name (please print):
__________________________________________________________

CAMP SESSIONS
(Please circle weeks your child will be attending)
June 15-17     June 22-24     June 29 to July 1      July      July 13-15

July 20-22     July 27-29     Aug. 3-5      Aug. 10-12      Aug. 17-19

     Aug. 24-26