Registration is now OPEN!
 
Fortunato Karate’s

2010 Summer Super Camp

“Early Registration Form”

July 12th-16th


 
___Yes, I would like to save $50 off the regular camp tuition and enroll my child in Fortunato Karate’s 2010 Summer Super Camp. I am choosing the E-Z Pay Option and have enclosed my $50 deposit to reserve my child's spot. (please circle 1/2 Day or FULL Day Camp below)


I will pay the remaining balance of $147 for BASIC 1/2 DAY CAMP by July 12th.
 

I will pay the balance of $247 for BELT ADVANCEMENT FULL DAY CAMP by July 12th.
 
 


___Yes, I would like to save $50 by enrolling my child in Fortunato Karate’s 2010 Summer Super Camp before the June 19th extended early enrollment date.
 
I would like to pay in full the total camp tuition. (please circle 1 below)
 
I have enclosed payment of $197 for BASIC 1/2 DAY CAMP  (9 am - 12 noon)
 

I have enclosed payment of $297 for BELT ADVANCEMENT FULL DAY DAY (9 am - 2 pm)




___I am bringing a friend, brother or sister with me to BASIC 1/2 Day Camp and have enclosed the additional $99 tuition.


___I am bringing a friend, brother or sister with me to BELT ADVANCEMENT FULL DAY CAMP and have enclosed the additional $147. Any new students will be able to learn new curriculum. All current students will learn their next level curriculum. All will test Friday, last day of camp.


 
Child’s Name:__________________________________________________________


Child’s Age:______________ Child’s Belt Rank:_______________________________


Phone #:_________________________ Cell #:______________________________


Email:________________________________________________________________


I, hereby, give my child permission to participate in Fortunato Karate’s 2010 Summer Super Camp. I understand that great care will be taken to provide a safe training atmosphere. However, I realize that karate, just like any other physical activity brings about some level of risk of injury. I acknowledge this risk and I will hold Fortunato Karate, it’s instructors, helpers and volunteers free from any and all liability.


Parent’s Signature:_______________________________________________________



Print and mail or drop this form off at Fortunato Karate A.S.A.P.

 


This form must be received by June 19th!