2025 Summer Camp Application Form

Summer Camp Application Form

Cork Acro Gymnastics Club
Child's Name*

First NameLast Name
Date of birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number 1*

Area CodePhone Number
Phone Number 2*

Area CodePhone Number
Email*
example@example.com
Are you a member of Gymnastics Ireland*

YesNo, but I understand my child will be registered by Cork Acro as a temporary member of GI for the summer camp. (€5 fee)
Details of any illness or condition*

AsthmaDiabetesEpilepsyAllergyInjuryASDDyspraxiaNothingOther
Other medical condition/diagnosis not mentioned above blanks
Details of any medication your child will bring to camp each day blanks Dosage:blank
I give permission for necessary first aid treatment for my child childs name in the event of injury or illness during camp. I will not send my child to camp if he/she is unwell
Signature*

Clear
Camp Dates*

June 30th to July 4th Junior & Intermediate Camp ** Camp Full Waiting List only**July 7th to July 11th Junior & Intermediate Camp**Camp Full waiting List only**July 15th to 18th 4 day Advanced Camp (10 til 2pm)July 21st to July 25th Junior & Intermediate level **CAMP FULL Waiting list only**August 5th to 9th 4 day Senior Acro Camp 10 til 2pmAugust 11th to 15th Junior & Intermediate Tumbling** Camp Full Waiting List Only**August 18th to 22nd Senior Acro & Tumbling Camp
Deposit required

My Products*

1 Camp deposit€30.00

1 summer camp deposit

Quantity

Total €0.00