Registration is now OPEN!

 
Click Here for a PRINT-able Copy!

 
2012 Summer Super Camp July 16-20

“Early Registration Form”


 
___Yes, I would like to save $100 off the regular camp tuition of $347 by registering BEFORE June 2nd. I understand this will discount my camp tuition to only $247. I am choosing the E-Z Pay Option and have enclosed my $50 deposit to reserve my child's spot. I will pay the balance of $197 by July 16th.


___Yes, I would like to save $100 off the regular camp tuition of $347 by registering BEFORE June 2nd. I understand this will discount my camp tuition to only $247. I would like to pay in full and have enclosed $247.


___Yes, my child will be bringing a brother or sister to camp and I have enclosed the additional $99 tuition.


 
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 2011 Summer Super Camp. I understand that great care will be taken to provide a safe training atmosphere. However, I realize that karate, jiu-jitsu, board breaking and weapon training, 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 & Jiu Jitsu A.S.A.P.

 


This form must be received by June 2nd!