HOLIDAY SALE 2025 Spring Break & Summer Camp Registration

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least two person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the studio/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Emergency Contact & Authorized Pick-Up #1
Full Name*

First NameLast Name
Primary Phone Number*
Secondary Phone Number
Relationship to Child*
Emergency Contact & Authorized Pick-Up #2
Full Name*

First NameLast Name
Primary Phone Number*
Secondary Phone Number
Relationship to Child*
Authorized Pick-Up #3
Full Name

First NameLast Name
Primary Phone Number
Authorized Pick-Up #4
Full Name

First NameLast Name
Primary Phone Number
Authorized Pick-Up #5
Full Name

First NameLast Name
Primary Phone Number
AUTHORIZED PICK UP POLICY: Only the people listed above may pick up your child from camp. No exceptions are made for family members without advanced written notice prior to pick up.*
Type initials above to consent
Please provide the names of persons who are UNAUTHORIZED to pick up your child: (These people are specifically NOT allowed to pick up your camper)
List the FIRST and LAST names of all persons unauthorized to pick up your child.

Sunscreen & Lotion Policy

Epic Martial Arts staff will assist in applying sunscreen and/or lotion to children attending camp. I (parent or guardian) understand that this may require the staff member to touch my child's face, shoulders, back, arms, and lower legs. Sunscreen and/or lotion will be applied in the presence of other staff members. I understand that staff will not apply sunscreen/lotion to any child's front torso or upper legs, but will assist and/or direct the child to do so. I understand that no Epic Martial Arts staff member will be allowed to apply any sunscreen, lotion or ointment to any area that would be covered by a bathing suit for any reason. In the event that any child does not bring sunscreen to activities/camp and conditions warrant it's use, members of Epic Martial Arts staff will use camp supplies to apply sunscreen as described above.
- Each child's parent/guadian must sign authorization for use and application of sunscreen/lotion on thier child(ren)
- Sunscreen and/or lotion containers must be labeled with the child's full name and must be provided to staff upon check-in.
- Children should, in most instances, apply the sunscreen/lotion on thier own or come to Epic Martial Arts activities with sunscreen/lotion already applied before arrival. If assistance is needed it will be provided by staff ONLY if specifically authorized (see above).
I have read Epic Martial Arts sunscreen and lotion policy; as a result, I hereby*

Agree and give permission to applyDO NOT give permission for staff to apply
I GIVE PERMISSION for Epic Martial Arts staff to administer sunscreen/lotion to my child(ren). I have read Epic Martial Arts policies regarding the administration of sunscreen/lotion and agree to comply. I understand that Epic Martial Arts is not responsible for non-compliance by my child. I further acknowledge that Martial Arts Success LLC / Taisaku Partnership LLC d.b.a. Epic Martial Arts, it's directors, officers, agents, employees, and staff shall have immunity from any liability from damages, injuries, allergies, or reactions resulting from the administration of the sunscreen and/or lotion provided.*
Type initials above to consent
I DO NOT GIVE PERMISSION for Epic Martial Arts, it's directors, officers, agents, employees, and staff to assist in applying sunscreen to my child(ren). I further agree to take FULL responsibility to apply sunscreen/lotion prior to arrival of all Epic Martial Arts activities and/or camps. I relieve Martial Arts Success LLC / Taisaku Partnership LLC d.b.a. Epic Martial Arts, it's management, owners, assigned staff, officers, agents and employees from any liability resulting from not applying sunscreen and/or lotion.*
Type initials above to consent

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Camp Policies & Procedures

Martial Arts Success LLC / Taisaku Partnership LLC d.b.a. Epic Martial Arts referred to as "EPIC"
CAMP HOURS: 9:00am-3:00pm. Free Extended Hours 7:30am-9:00am & 3:00pm-5:30pm.*
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FOOD AND SNACKS: I acknowledge that EPIC will NOT provide food and snacks during the camp, and it is my responsibility to send my child each day with lunch, two snacks and water bottle.*
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MINIMUM AGE: I acknowledge that my child will be at least 5 years of age on the first day of camp he or she attends.*
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WAVIER & RELEASE: Buyer(s) understands that Student(s) is engaging in physical activity, along with the use of EPIC’s facilities, equipment, training and instruction, which can be dangerous and could cause injury. Therefore Buyer(s) assumes all risk of injury to said Student(s). Buyer(s) / Student(s) hereby waives and releases any claim or right to sue EPIC, its employees or agents for injury. Buyer(s) has carefully read this waiver & release and fully understands that it releases EPIC of all liabilities for any injury that may occur. It is always advisable to consult your physician before undertaking a physical activity program, particularly those performed at EPIC. Additionally, I hereby grant and authorize EPIC the right to take, edit, copy, publish, distribute and make use of any and all photos or video taken of my child(ren) to be used in and/or for legally promotional materials and digital communications. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. I understand and agree that these materials shall become the property of and will not be returned.*
Type initials above to consent
LOSS/DAMAGE/THEFT: EPIC does not assume any responsibility for the loss, damage, or theft of any property belonging to the Buyer(s)/Student(s) and I agree by initialing above that EPIC and its personnel are not responsible or liable for any such property in the event of loss, damage, or theft on or about the facility.*
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TRANSPORTATION RELEASE: I (parent or guardian) give my consent to EPIC, its officers, agents, employees, individuals associated with the organization to transport my child(ren) named above to and from the authorized activities and events.*
Type initials above to consent
EMERGENCY MEDICAL: I (Parent or Guardian) give my consent to Martial Arts Success LLC / Taisaku Partnership LLC d.b.a. Epic Martial Arts, its officers, agents, employees, individuals associated with the organization or any emergency medical personnel to administer necessary treatment to my child (named above) in the event of an emergency and authorize transportation for child by ambulance if situation warrants. I agree to assume responsibility for the payment of the emergency treatment.*
Type initials above to consent
SICK POLICY: Campers, students, family members, guests, and visitors with fever, cough, sore throat, diarrhea or other flu-like symptoms are not permitted. Any camper with a fever above 100.4 will not be permitted and will be required to be picked-up immediately.*
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COVID-19: I (Parent or Guardian) understand that Epic Martial Arts has implemented steps and procedures to reduce the risk and spread of COVID-19 in accordance with state and federal guidelines. However, due to the nature of the novel coronavirus, EPIC cannot guarantee any visitor, guest, student or camper entering our facility will not be potentially at risk. By entering our facility, you hereby assume full responsibility and waive all claims against Martial Arts Success LLC / Taisaku Partnership LLC d.b.a. Epic Martial Arts, its owners, staff, instructors, partners or otherwise, for any and all injuries, claims, medical expenses or damages.*
Type initials above to consent
*Trade In Stock: I UNDERSTAND THAT EPIC IS A MARTIAL ARTS SCHOOL AND NOT A DAYCARE IN AS SUCH, THEIR STOCK-IN-TRADE IS NOT SUPERVISION AND CARE. THE SUPERVISION AND CARE OF MY CHILD(REN) IS INCIDENTAL TO THEIR PARTICIPATING IN THE PROGRAM AND THAT EPIC MARTIAL ARTS IS NOT ASSUMING RESPONSIBILITY OR THE PROVISION OF DAILY CHILD CARE OUTSIDE OF THE PROGRAM. THE INTENT OF EPIC IS TO TEACH MARTIAL ARTS PHYSICAL AND PHILOSOPHICAL CHARACTER BUILDING SKILLS.*
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DISCIPLINE POLICY: In an effort to provide your child and other students with a safe and fun experience, it is necessary that all students exhibit proper behavior, self-discipline and self-control. Correcting unsatisfactory behavior is time consuming and distracts from providing quality, safe, educational, and fun activities for the rest of the students. If we are unable to control a situation, we will contact the parents first by telephone at or near the disturbance, so that the parent may reinforce (by phone) the requirement that all students enrolled in the summer camp program behave satisfactory and follow instructions fully and promptly. Students that cannot be controlled by verbal commands or that are a constant disciplinary problem will be suspended from the program(s).*
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TECHNOLOGY, ELECTRONICS & PERSONAL DEVICES: Campers are NOT permitted to bring electronic devices (including but not limited to video games, tablets or digital music devices). Children with cell phones or smart watches will only be allowed to use device to communicate with parents and will not be permitted to use device for any additional reason. We ask that all cell phones and smart watches remain in campers bin while inside the facility. EPIC assumes no liability for lost, stolen or broken items.*
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EXTRA CHARGES: I acknowledge that my child must participate in field trips every TUESDAY and/or THURSDAY. As a result, I agree to a $20 field trip charge to be debited from my account the day of the field trip. I agree to a $20 per day field trip fee for Session 2 (Field Trip Extravaganza) with a maximum charge of $100 for the entire week per child. In compliance with state regulations, I (Parent and Guardian) understand field trips and destinations are subject to change and/or agree to any and all supplements. Customers who paid in full at Holiday Sale will NOT be charged field trip fees.*
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CANCELLATIONS, REFUNDS & ABSENCES: We understand plans change. EPIC will gladly issue a refund (minus the required non-refundable $25 deposit) for any cancellation request received in writing more than 14 days before the scheduled session date. No refunds, credits, or transfers are available for sick days or absences for any reason. Epic will gladly allow campers to change session dates at any time if the requested session is available; however, deposits are not transferable to new session dates and a new deposit will be required.*
Type initials above to consent
Sign Document*
Date Signed*

MonthDayYear
Special notes or direction for staff members:
Example: "Please add us to the wait list for weeks ________."
Should be Empty:

HOLIDAY SALE REGISTRATION - 2025 Spring Break & Summer Camp Registration

PLEASE NOTE: after Saturday, April 26, 2025 we cannot guarantee your child's spot in any session(s) unless you've completed the following form:

Spring Break Camp (March 31st - April 4th)

Camp Sessions, Dates & Field Trips

ATTENTION: Summer camp weeks maybe restricted due to limited capacity. If you need to change a week or have additional questions, please call us at 770-592-0088.

Camper's Information

Parent Information

Emergency Contacts/Authorized Pickup

Medical / Health Information

Medication

Sunscreen & Lotion Policy

Camp Pricing & Payment Procedure

Camp Policies & Procedures

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