Prospect Clinic

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Date: April 13 ^th, 2023

Clinic Start Time: 3:00PM

Clinic End Time: 6:00PM

Location: TPJ Recreation Center

Cover Charge: $20 (Cash/Check Only)

Open to graduates of 2024, 2025, and 2026

*Clinic is tied into Bethany College Open House

Tenatitive Itinerary

TIME	ACTIVITY
3:00-3:15PM	Education/History of Acrobatics & Tumbling
3:15-6PM	Tumbling & Basic Acro Skills Clinic

Email address *

First name *

Last name *

Address 1 *

Address 2 *

City *

State *

Cell Phone Number *

High School *

Graduation Year *

Method of Payment *

Position *

Top/Flyer Base Back Spot None

Athletic Background *

Artistic Gymnastics Acrobatic Gymnastics Trampoline & Tumbling Team Acro & Tumbling Competitive Cheerleading High School Cheerleading Other

Payment for the camp can be made through cash or check.

If paying with check, please make the check payable to: Bethany College Acrobatics and Tumbling

Cash/Checks can be mailed to:

Bethany College

Attn: Kassidy Montondo | Acrobatics & Tumbling

31 E. Campus Drive

Bethany, WV 26032

General Release: I hereby release and waive any possible claim against Bethany College, Bethany A&T and its staff, and any other persons associated with the clinic or any and all damages, injuries, and/or lose of equipment that my child may sustain in the course of the program or while traveling to or from the clinic.

Electronic Signature *

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