Atascocita Febraury Holiday Camp

Atascocita February Holiday Camp
New/Returning Student

New StudentCurrent/Returning Student
Students Name*

First NameLast Name
Male/Female:*

MaleFemale
Date of Birth*

MonthDayYear
Date
Age:*
must be 5-13 yrs
Additional Student Name

First NameLast Name
Male/Female:

MaleFemale
Date of Birth

MonthDayYear
Date
Age:
must be 5-13 yrs
Additional Student Name

First NameLast Name
Additional Student Name

First NameLast Name
Male/Female:

MaleFemale
Date of Birth

MonthDayYear
Date
Age:
must be 5-13 yrs
Parent Name:*

First NameLast Name
Parent Email:*
example@example.com
Parent Phone Number:*

Area CodePhone Number
Details: The rate for Holiday Camp is $42/day per student. Students should bring their lunch each day. We will have fun group games, crafts and ativities!

Please select which days your child/children will attend:
Attending:*

Monday, February 9thTuesday, February 10thWednesday, February 11thThursday, February 12thFriday, February 13thMonday, February 16th
Notes/Additional Information:
Snack Time:

We have two snack times during camp days, one in the morning and one in the afternoon.

Please review the information below and select your option:
- Option 1: You may send snacks/drinks with your student from home.
- Option 2: You may prepay for the alloted number of snacks below per student(charged with billing).
Snacks and drinks at The Karate School are $0.75 each.
Please select one of the options below for snack time:*

I will provide snacks for my child from home.I will prepay for the number of snacks below for each snack time with my billing.
*If Option 2*: Please allow the number of snacks below for each student with my daily billing.
Notes/Additional Information:
Should be Empty:

Atascocita February Holiday Camp