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Participant’s Name: _________________________
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Birthdate: _______
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Age: _______
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Address:__________________________________
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Email: __________
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Phone:
___________________________________
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Registration
Deadline: June 25
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I give my child (ren) permission to participate
in the Pottsville Gymnastic Training Center Summer Day Camp. I understand that I am registering for a
particular week(s) and that all payments are non-refundable.
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___________________________________________________ ____________________
(Parent/Guardian
Signature) (Date)
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Mail To:
Pottsville GTC Summer Day
Camps P.O. Box 631 Pottsville, PA 17901
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Full payment ($85) for Camp Must
Accompany This Registration. Check
payable to: Pottsville GTC
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If you have any questions,
feel free to call! 628-4966 info@pottsvillegymnastics.com
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