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Storm * Thunder * Lightning
2011 Summer Cheer Camp
Dates / Time: August 16 (Tues) 8:30am – 3:00pm
August 17 (Wed) 8:45 – 3:00pm
August 18 (Thurs) 8:45am – 2:00pm
August 18th @ 2:30pm Family & Friends Expo Performance in Hartford Gym
* CHEER outfit (shorts and tee-shirt) for Thursday’s Expo performance will be provided for all
enrolled in camp.
Place: Hartford Middle School (Gym)
Hartford Rd. & Hainesport/Mt Laurel Rd
Cost: $135.00 per cheerleader
Attendance is Mandatory for Lightning & highly recommended for Storm and Thunder.
BACK by Popular demand:
Enjoy camp with a friend!!!!!
*Camp is OPEN to girls 2nd thru 8th grade.
Whether you know someone interested in MLCA or just LOVES to CHEER!!!!!!
Invite them to join MLCA’s Summer Camp…..
**Cost is $135.00
(Includes 3 days of instructional cheerleading with Storm and Thunder squads & MLCA Camp Expo
Please contact Jessica Mell firstname.lastname@example.org with any questions
PLEASE E-MAIL YOUR DAUGHTERS SHIRT AND SHORT size to
Jessica Mell @ email@example.com NO LATER THAN 08/1/11
Expo outfit sizing chart:
-Youth small/ youth medium/youth large
-Adult small/ adult medium/ adult large/ adult extra large
Registration may be accepted via on-line registration @ http://www.sportssignup.com/MLCA-Online-Registration.start
and refer to the Open 2011 Summer Camp Registration link. (Payment may completed on-line with visa/mc or
check……PLEASE NO CASH)
By mailing completed registration form found by linking to http://www.mtlaurelcheer.com/index.php
then click on the FORMS section and refer to Open 2011 Summer Camp Registration along with payment to:
Attn: Camp ‘11
PO Box 1253
Mt Laurel, NJ 08054
**** All checks may be made out to MLCA ****
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MLCA SUMMER CAMP
RELEASE FORM & CONTACT INFORMATION
Registrars Name: ___________________________________________
DOB: ___________________________ Grade Fall 2011: ___________________________
Parent(s)/Guardian Name: _____________________________________________
Parent/Guardian Phone Number (daytime): ___________________________________________
If yes: email address: _____________________________________
Does your child participate in a gymnastic/cheer tumbling program: yes / no
Emergency Contact Info:
Name: ________________________________________ (relationship to registrar)
Address: _________________________________ Phone number: ____________________________
Current Daily Medication: ________________________________________________________
Physician’s Name: _______________________________ Phone: _________________
Hospital Preference: _____________________________
Insurance Carrier: __________________________
In case of emergency, I ____________________________ authorize MLCA staff to secure
(Print your name)
Emergency treatment for my child, _____________________________ (print child’s name)
Parent/Guardian Name Signature Date
Acknowledgment of Risk and Liability waiver, and admission of Tylenol/Advil
*MLCA Staff will have age appropriate Tylenol and/or Advil. No over the counter medication will be
distributed without verbal consent from a parent or emergency contact.
**I understand there may be risk of injury participating in cheerleading and tumbling; therefore I agree
to waiver any and all claims of liability, release and hold harmless MLCA in the event such injury may
occur to my child (ren).