CAMP FORM WAIVER


TADA GYMNASTICS STUDIO CAMP FORM & WAIVER

We are so happy that you’ve chosen TaDa Gymnastics Studio!

We know these forms are no fun, but we promise it won’t take too long. Plus this information is vital should an emergency arise. Please fill out all form completely.

Forms and any required supporting documents are due at least 48 hours prior to the camp start date.

Questions? Please email or call us at erin@tadagymnastics.com or 720.772.TADA (8232)

Camper Information

Campers First Name

Campers Last Name

Campers Age   

Primary Parent or Gaurdian

First Name      

Last Name   

Email Address  

Cell Phone Number

Busisness Phone Number   

Address   

City   

State   

Zip   

Optional Secondary Parent or Gaurdian

First Name   

Last Name    

Email Address   

Cell Phone Number   

Busisness Phone Number    

Persons Allowed to Pickup Your Child

Is there anyone allowed to pick up your child or children (you can list up to three individuals)? 

 

Persons NOT Allowed to Pickup Your Child

Is there anyone NOT allowed to pick up your child or children (you can list up to three individuals or call if there is more)? 

 

Emergency Contacts

Please enter 3 emergency contacts (2 required) other than parent or gaurdian information.

Emergency Contact 1 Name and Relationship 

Emergency Contact 1 Phone Number 

Emergency Contact 1 Address

Is this person authorized to pick up your child in an emergency? 

Emergency Contact 2 Name and Relationship 

Emergency Contact 2 Phone Number 

Emergency Contact 2 Address 

Is this person authorized to pick up your child in an emergency? 

Emergency Contact 3 Name and Relationship  

Emergency Contact 3 Phone Number  

Emergency Contact 3 Address 

Is this person authorized to pick up your child in an emergency? 

Camper Information

What is one main goal you have for your child at camp? 

 

Sunscreen: We use Rock Mountain Kids Sunscreen.  Respond “yes” if we can apply this sunscreen to your child.  If you select “No” you are responsible for supplying your own sunscreen labeled with your Childs full name. 

 

Camper Medical Information

Does your camper have a history of any of the following mental health conditions? Medical Information

Medical History Detail. If you checked yes to any of the above conditions, please provide further explination or list and explain any other medical conditions not included above. 

 

Will your child have any presricptions or over the counter medications at camp? 

 

Please list any over the counter medications or perscriptions that your child uses. 

 

Please list any allergies your child has.

 

Please list any dietary needs or restrictions your child has. 

 

Additional information you would like us to have about your child. Feel free to detail any social, emotional, or behavioral needs here in addition to any other information that would be helpful for the instructor to know about your child. 

 

Camper Health Information

We are required to collect immunization for all campers. Please upload your Colorado immunization form.

If your child is exempt for medical or personal reasons please check one of these options. 

 

Does your child carry an inhaler? 

 

Does your child carry an Epi-Pen? 

 

Does your child have diabetes? 

 

Does your child have epilepsy and need to have emergency medications at camp? 

 

Does your camper have a history of any of the following medical considerations?  Medical History

 

If you checked yes to any of the above considerations, please provide further explination or list and explain any other medical conditions not included above. 

 

Medical Facilities, Physians & Insurance 

Hospital Choice   

Physician   

Dentist   

Health Insurance Company   

Policy/Group Number   

Leave this empty:

Ta Da Gymnastics Studio https://tadagymnastics.com
Signature Certificate
Document name: CAMP FORM WAIVER
Unique Document ID: db56c8d50c6a90977e8e097cf222902b800602b9
Timestamp Audit
January 31, 2019 10:13 pm GMTCAMP FORM WAIVER Uploaded by Erin McDonald - erin@tadagymnastics.com IP 68.3.153.196
February 13, 2019 4:22 pm GMT Document owner erin@tadagymnastics.com has handed over this document to erin.mcdonald20@gmail.com 2019-02-13 16:22:30 - 68.3.153.196