Gastonia Grizzlies/CaroMont Health Muman Motion Institute
7th Annual Training Academy
Registration Form
Please fill out the below form and hit submit. You will then be directed
to instructions on making payment.
*
Name
*
DOB (MM/DD/YY)
*
Parent/Guardian Name
*
Address
*
Home Phone
Cell Phone
*
Email
*
Emergency Contact Information:
Name
Number
*
Which camp would you like to sign up for?
Select One
Camp #1 (June 14-18)
Camp #2 (July 26-30)
To sign up for both camps for only $175 -
Click Here
Special Dietary Needs
Allergies
How did you hear about our Camp?
CaroMont HMI
Website
Newspaper
Friend
Other
Questions / Comments
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required
