gek in the game

DAY PLay

WAIVER TO PLAY

Email address *

Player's name *

Player's Birthday *

Guardian's Name *

Phone *

Zip code *

Emergency contact name *

Emergency contact phone number *

Does the athlete have any medical conditions that you would like us to be aware of? *

I hereby give my approval for my child’s participation in any and all activities prepared by GEK In The Game during the selected camp. In exchange for the acceptance of said child’s candidacy by GEK In The Game, I assume all risk and hazards incidental to *

I agree

PHOTO RELEASE FORM I hereby grant permission to GEK In The Game to utilize photography/videos of me and my child participant in publications, social media, newsletters, online platforms, and in other communications related to the mission of GEKInTheGame *

I agree

Acknowledgement for this fun, all-inclusive, non- competitive Play Hour *

Children should not be sent in sick or contagious
Children can be dropped off/picked up or accompanied by their parents
Pick Ups after 10 minutes late will result in $10 late fee.

Location- May email to set up another location *

Tabernacle Church Gym 3210 Southwestern Blvd. O.P. 14127

Day Play Child Care One Day Fee ( Please only choose Tabernacle if you are in Nia's Group already) *

Tab Home School Co Op-1 Child ages 3-5- 1 Hour $8
Tab Home School Co Op-1 Child ages 3-5- 2 Hours $14
Tab Home School Co Op-1 Child ages 6-16-1 Hour $7
Tab Home School Co Op-1 Child ages 6-16-2 Hour $13
Public Child Care-1 Child Ages 3-5- 1 Hour $12
Public Child Care-1 Child Ages 3-5- 2 Hour $20
Public Child Care-1 Child Ages 6-16- 1 Hour $10
Public Child Care-1 Child Ages 6-16- 2 Hours $18

Payment- Electronic Payment Add $3 per transaction for fees *

Cash in person upon drop off
ZELLE 7164086532
PAYPAL paypal.me/gekinthegame

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upcoming schedule