Cobourg Tae Kwon Do Summer Day Camps

Cobourg Tae Kwon Do has been serving the local community of Northumberland County since the mid-1980s and has been focusing on developing champions of life through martial arts and personal excellence!

Our weekly Martial Arts Day Camps provide our students with excellent martial arts instructions and the valuable life skills they will need to succeed in life. Each weekly camp has its own unique and fun theme to keep our campers excited for what is next.

Our camps are perfect for current martial arts students who want to up their skills will also introducing newcomers who want to give martial arts a try over the summer.

July 10th to July 14th - Belt Ranking camp where students can earn their next rank in taekwondo, or for anyone new to martial arts, they can earn their first belt.

July 17th to July 21st - Action Star Camp teaches the campers how to do stunt action/martial arts like their favourite superheroes from the MCU or DCU.

July 24th to July 28th - Martial Arts Culture Camp is where the campers will explore different martial arts throughout the week, such as Taekwondo, karate, Kung Fu, Kickboxing, and so on.

July 31st to August 4th - During Sparring Camp, the students will learn various styles of Martial Arts sparring in a fun and safe way. Excellent for anyone wanting to improve their sparring skills or for someone who wants to try out martial arts.

August 8th to August 11th - Martial Arts Team Building camp will incorporate martial arts with team building and leadership skills in fun activities to help our campers develop good teamwork skills for the upcoming school year.

August 14th to August 18th - Extreme Martial Arts Performace Camp is where the campers will learn fun, fast-paced, exciting modern martial arts moves that you see on TV and Movie screens.

DISCOUNTS ON MULTIPLE WEEKS AND MULTIPLE PERSONS ARE AVAILABLE AND WILL BE AUTOMATICALLY CALCULATED IN THE FORM BELOW.

PAYMENTS CAN BE MADE WEEKLY AS WELL; PLEASE CONTACT US FOR DETAILS

If you have any questions, please call Master Jonathan at 905-373-0032 or email at sirfield@hotmail.com

Camper(s) Information

Camper's Name

First Name Last Name

Camper's Age

Gender

MaleFemale

2nd Camper's Name

First Name Last Name

2nd Camper's Age

Gender

MaleFemale

3rd Camper's Name

First Name Last Name

3rd Camper's Age

Gender

MaleFemale

4th Camper's Name

First Name Last Name

4th Camper's Age

Gender

MaleFemale

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Parent/Guardian Information

Name

First Name Last Name

Home Number

Cell Number

E-mail

example@example.com

Emergency Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Alt. Phone Number

Does the camper(s) have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the camper(s) prescribed an inhaler? If yes, please explain any instructions.

Select Your Camps

July 10th-14th - Belt Ranking CampJuly 17th-21st - Action Star CampJuly 24th-July28th - Martial Arts Culture CampJuly 31st-August 4th - Sparring CampAugust 8th-August 11th - Martial Arts Team Building CampAugust 14th-August 18th - Extreme Martial Arts Performance Camp

Please select How Many Camps You Are Attending and How Many Campers. Prices and Discounts will automatically be adjusted. If you have a special order, please contact us at 905-373-0032 or sirfield@hotmail.com so we can help you figure out the best price for you.

1 Camp

$175.00CAD How Many Campers

2 Camps

$300.00CAD How Many Campers

3 Camps

$450.00CAD Quantity

4 Camps

$600.00CAD How Many Campers

5 Camps

$675.00CAD How Many Campers

6 Camps

$810.00CAD How Many Campers

Total

$0.00CAD

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by {Organization} during the selected camp. In exchange for the acceptance of said child’s candidacy by {Organization} ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless {Organization} . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against {Organization} . including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the {Organization} . and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Date

Signature

Clear