Triad Summer Camp Registration Form
Child's Name:______________________________ Age:_________
Address:__________________________________________________
Home Phone:______________ Alternate Phone #:_______________
Parent (s) Name:_______________________ School:_____________
Return form to the Triad Front Desk along with
payment, or call to register over the phone with credit card.
Additionally, a parent signature is required on
liability waiver on or before the first day of camp. There will be a $5
processing fee for changes made after initial registration.
‘GymBugs’ Camps (Please circle choices)
Session I: Super Heroes June 17 June 18 June 19 9am-12pm
Session II: Jungle Safari July 8 July 9 July 10 9am-12pm
Session III: Olympians August 5 August 6 August 7 9am-12pm
Cost: 1 day- $25 2 days- $45 3 days- $60 Amount paid:_________
'Physical Kids' Gymnastics Camps (Please circle choices)
Session I: June 24 June 25 June 26 10am-12pm
Session II: July 29 July 30 July 31 10am-12pm
Cost: 1 day- $20 2 days- $40 3 days- $55 Amount paid:_________
Tumbling & Trampoline Camps (Please circle choices)
Session I: June 17 June 18 June 19 10am-12pm
Session II: July 8 July 9 July 10 10am-12pm
Session III: August 5 August 6 August 7 10am-12pm
Cost: 1 day- $20 2 days- $40 3 days- $55 Amount
paid:_________
Gladiator Challenge (Please circle choices)
Session I: June 10 10am-12pm
Session II: July 15
10am-12pm
Session III: August 12
10am-12pm
Cost: $20 per day Amount Paid:_________
Flip Flop Clinics (Please circle choices)
Session I:
June 8 4:30pm- 6:00pm
Session II: July 13
4:30pm-6:00pm
Session III: August 10 4:30pm-6:00pm
Cost: $15 per day Amount Paid:__________
Total Payment Amount:____________
Triad Kids Campus
2202 SE Creekview Drive,
Ankeny IA 50021
963-0215
www.triadgymnastics.com