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Martial Arts World Summer Camp
June 4, 2023 - August 11, 2023
Monday - Friday 8:00 AM - 4:00 PM
Responsible Party Information
Parent/Guardian of camp participant(s). Must be 18+ to fill out this section.
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Cell Number
*
Alternate Number
Email Address
*
Participant Information
List all children who will be enrolling in camp.
First Name
*
Last Name
*
D.O.B.
*
+
Age
*
Sex
*
Male
Female
First Name
Last Name
D.O.B.
+
Age
Sex
Male
Female
First Name
Last Name
D.O.B.
+
Age
Sex
Male
Female
First Name
Last Name
D.O.B.
+
Age
Sex
Male
Female
First Name
Last Name
D.O.B.
+
Age
Sex
Male
Female
Emergency Contact Information
List one other adult that can be reached in case of emergency.
First Name
*
Last Name
*
Primary Phone Number
*
Relationship to Participant(s)
*
Payment Information
Registration Fee (Non-Refundable)
*
1 Child ($360.00)
2 Children ($720.00)
3 Children ($1,080.00)
4 Children ($1,440.00)
5 Children ($1,800.00)
10-Week Session (June 4, 2023 - August 11, 2023) - Down Payment
Must be paid in full on or before May 14!
1 Child ($675)
2 Children ($1,300)
3 Children ($1,850)
4 Children ($2,350)
5 Children ($2,850)
10-Week Session (June 4, 2023 - August 11, 2023) - Full Payment
1 Child ($2,700)
2 Children ($5,200)
3 Children ($7,400)
4 Children ($9,400)
5 Children ($11,400)
I certify that I have read and agree to the Martial Arts World Summer Camp Terms & Conditions
*
Terms Accepted