Home » Forms » Release / Registration "*" indicates required fields Release / Registration 2024 Camper's Name* First Last Session* Camper's Date Of Birth* MM slash DD slash YYYY Age* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Phone #2Emergency Number*Name / Relationship* Mother / Guardian Name Father / Guardian Name Level* Would like to bunk with Allergies My child is allowed to see "G" Movies "PG" Movies "PG-13" Movies Special Dietary Needs:Special Training***Please include a photo copy of your child’s insurance card. I being the legal parent/guardian of the above camper, a minor, in consideration of your acceptance of my child into the Dunkley Gymnastic Camp, and in consideration of the opportunity to improve gymnastics and other athletic skills through the use of your equipment and staff, do forever release the camp owners, staff, directors, of`icers of Dunkleys Gymnastics Inc from any and all claims, demands, rights of action, present or future, resulting from or arising out of the gymnastic/camper use of Dunkleys or its facilities. I understand that participation in Gymnastics and all other camp activities involves motion, rotation and height in a unique environment, and as such carries with it the risk of minor injury, such as bruises and more serious injuries such as broken bones, dislocations and muscle pulls. The risk also includes catastrophic injuries, such as permanent paralysis or even death from landing or falls on the back, neck or head. The camp is not responsible for personal items that are lost, stolen or damaged. All medical expenses incurred will be the responsibility of the camper or the camper’s family. I hereby authorize the staff at Dunkleys Gymnastics Camp to act for me according to their best judgement in any emergency requiring medical attention. My signature veri`ies that my child is `it to train or compete in gymnastics with no restrictions; if any limitations are recommended, following the date of this signature, I will notify camp immediately. I also expressly grant to the camp the right to `ilm, videotape and photograph and make any reproduction of the camper’s physical like to display or use for advertising/publicizing camp. My child has permission to take Advil Tylenol for headaches at camp. The camp director will monitor all medical emergencies. Parent/Guardian Email* Parent/Guardian Name (Print)* First Last Date* MM slash DD slash YYYY Parent/Guardian SignatureCAPTCHACommentsThis field is for validation purposes and should be left unchanged.