Ssga/Massachusetts State tops camp july 18-20, 2014

There will be a 1 hour lunch break-Lunch is on your own.

(Entry into the TOPS CAMP does not automatically enter you into the TOPS test on 7/20/14. You must register for the test at least 7 days before the test at http://usagym.org/pages/women/updates/tops.html)

Tentative Staff: Travis Cherrier (from Legacy Gymnastics in Minnesota), Laurie DeFrancisco (Arena in CT), Robert & Nikki McElroy (GLC-MA), Haley Merra (Former ballerina from London Royal Ballet Company), Matt Yellis (Atlantic Gym and NH TOPs State Manager) and MANY, MANY MORE!

Cost: $150.00/gymnast (checks to SSGA) for the entire camp! www.southshoregymnasticsacademy.com

(We need a certain amount of attendees to run the camp. If we don’t run it due to low attendance, all monies will be refunded.)

Camp is held at: South Shore Gymnastics Academy, 22 Reservoir Park Dr., Rockland, MA

Host hotels: Comfort Inn, 850 Hingham St, Rockland, MA (walking distance to gym & many restaurants) 781-982-1000

Holiday Inn, 929 Hingham St, Rockland, MA 781-871-0545 (.25 miles away)

Gymnasts are not entered into the camp until paid in FULL- no email/phone entries unless they are accompanied by credit card information. Parents must sign waiver on registration form.

Questions? Call Rett at 781-878-3300 or email: rettware34@hotmail.com

TOPs Camp Registration Form

July 18th (4-7 pm) and 19th (10 am -5pm with a 1 hour lunch break)

July 20-Gymnasts can sign up separately for the TOPs test being held at SSGA- 10 am start (must register SEPERATELY online through USAG for this test. Entry into the TOPS CAMP does not enter you into the TOPS test on 7/20/14. You must register at least 7 days before the test at http://usagym.org/pages/women/updates/tops.html)

Gymnasts Name: _________________________________________ Date of Birth: ___________________

2013-2014 Competitive Level: ____________ USAG #: _________________

Parent Name: ________________________________________ Contact Phone #: _______________________

Address: ______________________________________ City: __________ State: _______ Zip: ____________

Coaches Name: ______________________________________USAG/EXP #: ______________

Cost $150.00/Gymnast- payable to SSGA by check /Coaches w/ no gymnasts $50.00 Mail to: SSGA, 22 Reservoir Park Dr., Rockland, MA 02370

1. that the activities offered by SSGA include active sports which can result in injury to participants and/or spectators;

2. that SSGA provides an observation area and that I have the option to remain in the observation area while my child and/or ward is in a class, working out or performing;

3. that in the event I choose to leave my child and/or ward before, during or after a class, workout or a performance, I hereby give SSGA my permission to use its discretion in determining whether my child and/or ward requires medical attention and, if so, to use its discretion in transporting my child and/or ward, selecting a health care facility and obtaining treatment for him/her;

4. that in my absence SSGA does NOT assume any responsibility for the care, custody, control, condition, health or well-being of my child and/or ward.

ACKNOWLEDGEMENT OF RULES AND POLICIES - acknowledge that SSGA has rules and policies in place regarding safety, use of facilities, conduct and the like. I have reviewed all currently in place (copies always available at SSGA facilities). I understand that failure to follow the rules in SSGA's discretion may result in revocation of all privileges provided by SSGA without refund of any prepaid fees.

I authorize SSGA to take pictures of my child and post them, either online or in print.

By checking this box/and or signing below, I certify that I have read and agree with the above AUTHORIZATIONS, RELEASES AND ACKNOWLEDGEMENTS.