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
Youth SmallAdult SmaillYouth MediumAdult MediumYouth LargeAdult Large
Non-SwimmerBeginner swimmer (can swim on front 20ft without flotation)Advanced swimmer (can pass swim test)
List Any Allergies and Dietary Restrictions
Parent / Guardian Information
Name

First NameLast Name
Email
example@example.com
Cell Phone
Work Phone
Relationship with the Camper
Camp Payment Options

Choose one option.
$1740
Option 2: Sessions 1 and/or 2

$880 (Weeks 1-5) Payment due 5/19/24$950 (Weeks 6-10) Payment due 6/23/24
$190/week (10 weekly installments starting on 5/31/24)
Option 4: Al la carte : Payment due two weeks prior to selected date(s)

$199 Week 1: 6/3/24-6/7/24$199 Week 2: 6/10/24-6/14/24$199 Week 3: 6/17/24-6/21/24$199 Week 4: 6/24/24-6/28/24$120 Week 5: 7/1/24-7/3/24$199 Week 6: 7/8/24-7/12/24$199 Week 7: 7/15/24-7/19/24$199 Week 8: 7/22/24-7/26/24$199 Week 9: 7/29/24-8/2/24$199 Week 10: 8/5/24-8/8/24
$75/week
$75 Registration fee due today.

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

MonthDayYear
Date
Parent / Guardian Name
Signature

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Martial Arts Summer Camp Registration