Dan Alch Camp of Champions

August 12th-14th 2019

**Please print the Dan Alch Camp of Champions 2019 Waiver

for your gymnasts to bring to the first day of Camp**

Dan Alch Waiver Form

You will need to fill out the below registration form including payment information for camp registration to be complete.

Gymnast Name *

Gymnast Name

First Name

Last Name

Home Gym *

Level *

Parent/Guardian

Parent/Guardian

First Name

Last Name

Email *

Phone *

Phone

(###)

###

####

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Payment Infotmation

Credit Card # *

Name on Card *

Name on Card

First Name

Last Name

Expiration Month *

Expiration Year *

Amount to be charge *

Please contact GTC Staff with any questions

(801)433-0801 or Utahgtc@gmail.com