Kids Summer Camp

Summer Camp On-line Registration
1. Complete info below and Click Submit Button FIRST.
2. Click "Pay Now" to process with Visa/MC/Debit/PayPal.
3. A confirmation & receipt will be sent by Paypal.

Name of person processing payment *

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Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

STUDENT NAME *

First

Last

Choose Your Week(s) - Click All that Apply *

July 11-July 15 (9:00am-12:00pm)

Student Age *

Student Gender *

Female Male

Emergency Contact Name *

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Last

Emergency Cell Number *

Any Allergies or Special Needs? If Yes, Please explain: *

TERMS AND CONDITIONS
CAMP REQUIREMENTS:
-Daily snack and drink (no peanut products)
-Running shoes for outdoor activities
-Optional change of clothing
-Sunscreen and hat for outdoor activities
OTHER NOTES:
-No refunds on camp tuition once it is charged.
-Some sessions (or part of) may take place outside
-Waiver required (parent or guardian signature)
-Please label backpack and clothing.
-We are not responsible for lost items.
-Camp may be cancelled due to insufficient registration

Check this box to indicate that you have read and agree to all of the terms & conditions *

Agreed to Terms and Conditions

Submit

Note: Click "SUBMIT" First (ABOVE) to Register.
Then click "Buy Now" below for payment ($180).

Payments processed
securely by Visa/MC/Debit.
Paypal account not required.

Krav-Jitsu Summer Camp
Fun days of SELF DEFENSE
Bully proofing, escapes, rolls, strikes, weapons safety, pad hitting, break falls, games and more (including wilderness survival tips)!

Krav Maga & Jujitsu! 2 of the best martial arts now combined in a fun indoor and outdoor camp.

Get fit, build confidence, improve grades!
2 black belt instructors (female & male)

Location: 2251 #5 Rd (Off of Bridgeport)

AVAILABLE CAMP DATES
Week 1: July 11 - 15. Daily. 9:00am-12:00pm.

COST
$180 (tax included) per week (9:00am-12:00pm)

CAMP REQUIREMENTS:
-Daily snack and drink (no peanut products)
-Running shoes for outdoor activities
-Optional change of clothing
-Sunscreen and hat for outdoor activities

OTHER NOTES:
-No refunds on camp tuition once it is charged.
-Some sessions (or part of) may take place outside
-Waiver required (parent or guardian signature)
-Please label backpack and clothing.
-We are not responsible for lost items.
-Camp may be cancelled due to insufficient registration

Summer Camp On-line Registration1. Complete info below and Click Submit Button FIRST.2. Click "Pay Now" to process with Visa/MC/Debit/PayPal.3. A confirmation & receipt will be sent by Paypal.

Payments processed securely by Visa/MC/Debit.Paypal account not required.

Summer Camp On-line Registration
1. Complete info below and Click Submit Button FIRST.
2. Click "Pay Now" to process with Visa/MC/Debit/PayPal.
3. A confirmation & receipt will be sent by Paypal.

Payments processed
securely by Visa/MC/Debit.
Paypal account not required.