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?
Both Camps
Special Dietary Needs
Allergies
How did you hear about our Camp?
CaroMont HMI
Website
Newspaper
Friend
Other
Questions / Comments
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required
