🥋KICKIN SUMMER CAMPS 2026
36546 Mission Street - (225)313-6849 - admin@kajunmartialarts.com
REGISTRATION: $150
Includes: 2 KMA T-shirts, drawstring bag, Snack card (10), most Field Trips & Activities
PRICING:
Weekly: $217/week (or $197/week for full camp)
Daily: $50/day (10 days or less) | $45/day (11+ days)
Sibling Discount: 15% off | Full Camp: 10% discount
PARENT/GUARDIAN INFORMATION
Guardian 1 Name:
*
Email:
*
example@example.com
Cell Phone:
*
Guardian 2 Name:
Email:
example@example.com
Cell Phone:
Address:
*
Street Address
Street Address Line 2
City/State
State / Province
Postal / Zip Code
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CAMPER INFORMATION
There is space for 3 children. If you have more, then please fill the form out again.
Child 1:
Full Name:
*
Date of Birth:
*
-
Month
-
Day
Year
Date
Currently training at KMA?
Yes
No
Child 2:
Full Name:
Date of Birth:
-
Month
-
Day
Year
Date
Currently training at KMA?
Yes
No
Child 3:
Full Name:
Date of Birth:
-
Month
-
Day
Year
Date
Currently training at KMA?
Yes
No
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YOUR GOALS FOR SUMMER CAMP
Select all that apply:
*
🐱👤 Self Defense
🎯 Self Discipline & Focus
💪 Build Confidence
👫 Social Skills & Friends
🏃♂️ Physical Fitness
⭐ Character Development
🎉 Fun Experience
🏠 Safe Environment
Additional goals or needs:
*
How did you hear about us?
Current Member
Friend/Family
Social Media
Website
Other
SCHEDULE SELECTION
Camp runs May 26 - July 31, 2026 (No camp Memorial Day May 25)
Payment Plan:
*
Paid in Full
Monthly
Weekly
I plan to attend:
*
Full Summer (all 10 weeks)
Specific weeks
Specific days
Week Selection (check all that apply):
*
Week 1: May 26-29
Week 2: June 1-5
Week 3: June 8-12
Week 4: June 15-19
Week 5: June 22-26
Week 6: June 29-July 3
Week 7: July 6-10
Week 8: July 13-17
Week 9: July 20-24
Week 10: July 27-31
Daily Selections (Please select all that apply)
☐ Tues, May 26
☐ Wed, May 27
☐ Thurs, May 28
☐ Fri, May 29
☐ Mon, June 1
☐ Tues, June 2
☐ Wed, June 3
☐ Thurs, June 4
☐ Fri, June 5
☐ Mon, June 8
☐ Tues, June 9
☐ Wed, June 10
☐ Thurs, June 11
☐ Fri, June 12
☐ Mon, June 15
☐ Tues, June 16
☐ Wed, June 17
☐ Thurs, June 18
☐ Fri, June 19
☐ Mon, June 22
☐ Tues, June 23
☐ Wed, June 24
☐ Thurs, June 25
☐ Fri, June 26
☐ Mon, June 29
☐ Tues, June 30
☐ Wed, July 1
☐ Thurs, July 2
☐ Fri, July 3
☐ Mon, July 6
☐ Tues, July 7
☐ Wed, July 8
☐ Thurs, July 9
☐ Fri, July 10
☐ Mon, July 13
☐ Tues, July 14
☐ Wed, July 15
☐ Thurs, July 16
☐ Fri, July 17
☐ Mon, July 20
☐ Tues, July 21
☐ Wed, July 22
☐ Thurs, July 23
☐ Fri, July 24
☐ Mon, July 27
☐ Tues, July 28
☐ Wed, July 29
☐ Thurs, July 30
☐ Fri, July 31
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MEDICAL & EMERGENCY INFORMATION
Allergies: (type n/a if none)
*
Medical conditions or medications: (type n/a if none)
*
Behavioral or developmental considerations: (type n/a if none)
*
Emergency Contact - Please list all persons authorized to pick up your child(ren):
*
Rows
NAME
RELATIONSHIP
PHONE NUMBER
1
2
3
4
5
6
7
8
9
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CAMP POLICIES
Drop-off: 7:00-9:30am | Pick-up: 4:00-6:00pm
Daily: Bring lunch, snacks, water, change of clothes
Field Trip Days: KMA T-shirt & tennis shoes required
No refunds | Account credit case-by-case
Electronics: Limited use; wifi access will not be given
AGREEMENTS (check all): Upon completing this form, you will be emailed all policies and procedures.
*
Liability Waiver: I hold harmless KMA from injury or accident
Medical Authorization: KMA may seek emergency care
Photo/Video Release: KMA may use photos for promotion
Transportation: KMA may transport to field trips
Camp Policies: I agree to all policies and understand commitment
Parent/Guardian Signature:
Print Name:
Date:
-
Month
-
Day
Year
Date
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