2021 Twirl Camp Pinnacle Registration
We are continually monitoring the COVID-19 situation. We will make modifications to staff and camp details to comply with guidelines set forth by the state and the facility.
Camper General Information
Twirler Phone Number
Current Competitive Level
Never Competed Before
Primary reason for attending camp?
Preparing for the national championships
Preparing for the football season ahead
Simply learning new tricks and routines
What is your "primary" competitive organization?
Emergency Contact Name
Emergency Contact Phone Number
Please list any known health or allergy issues.
I know of no reason(s), other than indicated on this form, why my child should not participate in twirling activities.
That is correct.
I will contact camp directors to discuss concerns.
Coach's Email Address
Please indicate two or three things you would like to learn at camp.
Private lesson signs up will be available and sent via email by May 1!
Camp Pinnacle T-Shirt/Tank Top included in Total Cost
Camp Pinnacle Water Bottle - $10.
Camp Pinnacle Drawstring Bag - $12.
How many sessions would you like to attend?
1 Session - $100
2 Sessions - $200
3 Sessions - $250
4 Sessions - $300
2 Session Mini-Camper (7 and under) - $100
Discounted price for more those attending more than 2 sessions.
I would like to attend...
Session 1 (Friday, June 25, 1:00 - 5:00 PM)
Session 2 (Saturday, June 26, 8:00 AM - 12:00 PM)
Session 3 (Saturday, June 26, 1:00 PM - 5:00 PM)
Session 4 (Sunday, June 27, 8:00 AM - 12:00 PM)
Friday Evening Critiques in Costume: Solo ($20)
Saturday Evening Critiques in Costume: Strut, 2, & 3 Baton ($20)
Anything else? + Camp Total
What else do we need to know about you? This is your chance to share anything and everything we can do to make this the best camp experience... EVER! This includes - recommendations, feedback from previous years, special needs you might have, etc. Ready, set, go!
COVID-19 WAIVER and RELEASE of LIABILITY
In consideration of the risk of exposure to and potential subsequent infection and resultant conditions of COVID-19 while at TwirlCamp Pinnacle at the Summit Tennis & Athletic Club located at 2900 W Plank Rd,Altoona, PA 16601, I, the undersigned, on behalf of myself, my heirs, executors, administrators, assigns or personalrepresentatives, knowingly and voluntarily enter into this Waiver and Release of Liability and hereby waive any and all rights, claimsor causes of action of any kind whatsoever arising out of attendance at Twirl Camp Pinnacle and do hereby release and foreverdischarge Twirl Camp Pinnacle, their staff, directors and members for any exposure to and/or subsequent infection and resultantconditions of COVID-19 that is medically traced back to participation in Twirl Camp Pinnacle.I am voluntarily participating in the aforementioned Camp and am aware of and accept the inherent risks of participation in saidConference.I acknowledge that I have read and understand this Waiver and Release and expressly agree to release and discharge Twirl CampPinnacle, it’s directors, staff and members of any and all claims or causes of action relative to exposure and potential subsequentinfection and any resultant condition of COVID-19 incurred as a medically traceable exposure while participating in the Camp.
I give permission to Twirl Camp Pinnacle to use photos taken of my child participating in twirling activities for the promotion of our camp and baton twirling.
I give my consent to the administration of emergency medical treatment by any licensed physician or dentist and to transport the child to any reasonably accessible medical / hospital facility. Initial below.
Payment to Twirl Camp Pinnacle:
( X )
Credit Card Number
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm