COMPLETE
AND RETURN REGISTRATION FORM ALONG WITH $50.00
DEPOSIT TO ISG
ACT NOW, ENROLLMENT IS LIMITED!
NAME__________________________________________________AGE___________
PHONE(____)_____________________ EMAIL _______________________________
ADDRESS_____________________________________________________________
CITY_______________________STATE______ZIP_________
SCHOOL OR
CLUB____________________________________ LEVEL _____________
GYM PHONE(____) _______________
COACH ________________________________
CHECK ALL THAT APPLY:
____Athlete (___boy,
___girl) OR______Coach (______men’s,
_____women’s)
HOUSING
NEEDED? ($100.00) YES NO
PARENTS’
NAMES________________________________________
WORK PHONE (____)
_________________ HOME PHONE (____)___________________
PARENTS’
SIGNATURE___________________________________DATE_____________
CAMP FEES: $295.00 (Payable to ISG) (Include $50.00 nonrefundable
deposit with registration)
METHOD OF PAYMENT:
_____ Check _____ VISA _____ Master Card _____ Discover _____ Other Card (List type)_____________________________________ Credit Card #_______________________________ Expiration Date:____________ Signature:____________________________________________________________
Mail to: Indy School of Gymnastics, 9850 Mayflower Park Drive, Carmel, IN 46032
Gym Phone: 317-872-5948 Gym Fax: 317-803-2160