GOLD Breakin Camp

Gold Camp Form

Guardian Full Name

Phone/Mobile

Email

Camp Date Selection

Camp #1 – July 2, 3, 4, 5 (Instructor: Jimmy Chapman)

Camp #2 – July 8, 9, 10, 11, 12 (Instructor: Jimmy Chapman)

Camp #3 – July 15, 16, 17, 18, 19 (Instructor: Jimmy Chapman)

Camp #4 – July 22, 23, 24, 25, 26 (Instructor: Johnny Green)

Camp #5 – July 29, 30, 31, Aug 1, 2 (Instructor: Jimmy Chapman)

Camp #6 – August 6, 7, 8, 9 (Instructor: Jimmy Chapman)

Camp #7 – August 12, 13, 14, 15, 16 (Instructor: Johnny Green)

Camp #8 – August 19, 20, 21, 22, 23 (Instructor: Johnny Green)

Child's Name

Child's Age

Submit Form