Day Camp Registration Form

Martial Arts Summer Camp Registration

Camp Hours 7:30am- 5pm. (After hours pick up available at extra cost.)
Camper's Information

Personal & Health & Contact
Name

First NameLast Name
Birth Date

MonthDayYear
Age (at time of camp)
Age limit 5-12
T-shirt Size:
Campers Swimming Ability
List Any Allergies and Dietary Restrictions
Parent / Guardian Information
Name

First NameLast Name
Email
example@example.com
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Relationship with the Camper
Camp Payment Options

Choose one option.
Option 1: Full 10 weeks: Payment Due by 5/19/24
Option 2: Sessions 1 and/or 2
Option 3: Weekly Autobill
Option 4: Al la carte : Payment due two weeks prior to selected date(s)
After hours pick up. 5pm-5:30pm
$75 Registration fee due today.

Fee is non refundable and secures camper’s spot.
Date

MonthDayYear
Date
Parent / Guardian Name
Signature
Should be Empty:

Martial Arts Summer Camp Registration