Winter Christmas Camp 2025 @弘武金龙学院 Registration

Winter Christmas Camp 2025 @弘武金龙学院 Registration
Join Our Winter Christmas Camp 2025!
December 22nd, 23rd, 26th & 29th | 8:00 AM – 6:00 PM

Celebrate the holiday season with us at our Winter Christmas Camp 2025—a week filled with joyful learning, exciting adventures, and festive fun! From 8:00 AM to 6:00 PM, campers enjoy full days of hands-on activities, movement, and enrichment in a warm and welcoming environment.

Each morning, students kick off the day with indoor and outdoor fun sports to stay energized and active. They’ll also head out on exciting field trips to places like Chuck E. Cheese’s and the Birch Aquarium, where they’ll experience play, science, and exploration in festive spirit.

Afternoons focus on creativity, focus, and physical wellness through engaging classes in creative arts, chess, kids fitness, gymnastics, and more. These programs are designed to inspire young minds, build confidence, and support whole-child development.

To enroll, please complete the form below so we have all the necessary information to ensure your child’s safety and a joyful camp experience.

Join us this winter for a magical week of holiday fun, learning, and celebration!

Contact Us
Address: 4040 Sorrento Valley Blvd, Suite K/L, 92121
Phone: 858-568-6542
Email: wushu.taiji@gmail.com
WeChat: huangqin837
Student Information
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
TKKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
MaleFemale
School name currently enrolled at*
Camp Schedule
December 22ndDecember 23rdDecember 26thDecember 29th
Parent/Guardian Information
Name*

First NameLast Name
Relationship*
Home Number*
Format: (000) 000-0000.
Cell Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information

In an emergency, if a parent or guardian cannot be contacted, Golden Dragon USA may contact the following in the order given:
1. Emergency Contact Name/Address, City, State, Zip*
2. Emergency Contact Name/Address, City, State, Zip
3. Emergency Contact Name/Address, City, State, Zip
Release of Students

Golden Dragon USA has my permission to release my child to the persons listed below. I understand that a photo I.D. will be requested if the person is unknown to the School Staff.
1. Contact Name/Phone number/Address, City, State, Zip*
2. Contact Name/Phone number/Address, City, State, Zip
3. Contact Name/Phone number/Address, City, State, Zip
Heath Insurance Information
NoneAllergiesVisionHeart murmurHigh blood pressureOther
I confirm that the particpant is covered by Health Insurance.
Health Insurance Provider*
Health Insurance Policy Number
Child’s Doctor (Name/Phone number/Address, City, State, Zip)*
Child's Dentist ( Name/Phone number/Address, City, State, Zip)*
YesNo
YesNo
In case of an emergency, I understand every effort will be made to contact me or the emergency contact persons listed above. In the event that we cannot be reached, I hereby give permission to the physician listed on the form to hospitalize, secure proper treatment and to order anesthesia or surgery for my child. I authorize my child to receive medical attention in the event of illness or injury. I understand that the Golden Dragon USA is not responsible for costs incurred for medical care.If you child has any medications, the Permission to Administer Medication form must be completed and given to the Hong Wu Golden Dragon Academy on the first day of each camp session. Medications must be accompanied by the original physician’s prescription with clearly written directions.*

I understand and agree to these terms.
Liability Waiver
By clicking on this form you confirm that you have read and agree to all terms in the release and waiver.

The undersigned fully understands that my/my child's participation in the above events/classes exposes my child or me to the risk of personal injury, death, communicable diseases, illnesses, viruses, or property damage. I hereby acknowledge that participation in these events/classes is voluntary and agree to assume any such risks. I hereby release, discharge and agree not to sue the Golden Dragon USA or its officers, employees or agents, for any injury, death or damage to or loss of personal property arising out of, or in connection with, my participation in the event/class from whatever cause, including the active or passive negligence of Golden Dragon USA or its officers, employees or agents, or any other participants in the event/class. The parties to this agreement understand that this document is not intended to release any party from any act or omission of “gross negligence,” as that term is used in applicable case law and/or statutory provision. Further, in consideration for being permitted to participate in these events/classes, I hereby agree, for myself, my heirs, administrators, executors and assigns, that I shall indemnify and hold harmless the Golden Dragon USA from any and all claims, demands, actions or suits arising out of the connection with my/my child's participation in these events/classes. I have carefully read this Release, Hold Harmless, and Agreement Not to Sue and fully understand its contents. I am aware that it is a full release of all liability and sign it on my own free will.

Please read the forms in the link:

Waiver and Release of Liability Form
Yes
Transportation Waiver
By clicking on this form you confirm that you have read and agree to all terms in the release and waiver.

I give permission for my child to attend the above events/classes. I understand that personal injury can and may occur to my child, and I hereby authorize Golden Dragon USA, its officers, employees, volunteers and/or agents, to seek and consent to emergency medical attention for my child as needed; and I further agree to be liable for and to pay all costs incurred in connection with such medical attention. I hereby release Golden Dragon USA, its officers, employees, agents and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained by my child while participating in or traveling to and from this event. I give permission for my child to ride in any vehicle designated by Golden Dragon USA, its employees and adult volunteers, while participating in and traveling to and from this event. I agree to accept full responsibility, financially or otherwise, for any damage my child may do to the property of Golden Dragon USA,, properties visited on outing, other’s personal property, or vehicles used for transportation.
Yes
Yes
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*

MonthDayYear
Date
Signature*

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Winter Christmas Camp 2025 @弘武金龙学院 Registration

Student Information

Camp Schedule

Emergency Contact Information

Release of Students

Heath Insurance Information

Liability Waiver

Transportation Waiver