Camper InformationHow many students are registering for camp?*Please Select1234Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Grade*Please SelectKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeT-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkDoes your child have any allergies?*Please SelectYesNoPlease describe*Is there any additional information you would like us to know about your child?2nd Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Grade*Please SelectKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeT-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkDoes your child have any allergies?*Please SelectYesNoPlease describe*Please describe*Please describe*Is there any additional information you would like us to know about your child?3rd Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Grade*Please SelectKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeT-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkDoes your child have any allergies?*Please SelectYesNoPlease describe*Please describe*Is there any additional information you would like us to know about your child?4th Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY T-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeGrade*Please SelectKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectAmherstEast AmherstHamburgLancasterOrchard ParkDoes your child have any allergies?*Please SelectYesNoPlease describe*Is there any additional information you would like us to know about your child? Adult DemographicsPrimary Parent/Guardian* First Last Primary Phone*Secondary PhoneEmail* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you find out about our camp?*Please SelectTKD SchoolBrochureFriendWebsiteFacebookOtherSecondary Parent/Guardian First Last Primary PhoneSecondary PhoneEmail Emergency Contact* First Last Emergency Contact Primary Phone*Emergency Contact Secondary PhoneEmergency Contact* First Last Emergency Contact Primary Phone*Emergency Contact Secondary PhoneConsent to Pickup Name #1 First Last Relation to CamperConsent to Pickup Name #2 First Last Relation to CamperConsent to Pickup Name #3 First Last Relation to Camper Consent WaiversSunscreen Consent* I agree to the sunscreen consent policy.I authorize Master Chong’s World Class Taekwondo staff to apply sunscreen to my child(red) as needed. This permission will be in effect until summer camp has ended or until I have submitted a written request that sunscreen is no longer to be applied to my child. I understand that I must supply a bottle of sunscreen with my child’s name on it on the first day that my child attends summer camp.Transportation Consent* I agree to transportation consent policy.I give Master Chong’s World Class Taekwondo permission to transport my child, to and from all scheduled field trips during their participation in summer camp. All transportation will be provided by First Student school bus company. Week Registration/BillingWhat weeks will camper #1 be attending?* Select All Week 1: Launch into Summer (June 28th- July 2nd) Week 2: Sports Mania (July 5th- July 9th) Week 3: Gooey Goodness (July 12th- July 16th) Week 4: Wacky Creations (July 19th- July 23rd) Week 5: Science Spectacular (July 26th- July 30th) Week 6: Summer Olympic (August 2nd- August 6th) Week 7: Games Galore (August 9th- August 13th) Week 8: Kitchen Creations (August 16th- August 20th) Week 9: Party The Summer Away (August 23rd- August 27th) What weeks will camper #2 be attending?* Select All Week 1: Launch into Summer (June 28th- July 2nd) Week 2: Sports Mania (July 5th- July 9th) Week 3: Gooey Goodness (July 12th- July 16th) Week 4: Wacky Creations (July 19th- July 23rd) Week 5: Science Spectacular (July 26th- July 30th) Week 6: Summer Olympic (August 2nd- August 6th) Week 7: Games Galore (August 9th- August 13th) Week 8: Kitchen Creations (August 16th- August 20th) Week 9: Party The Summer Away (August 23rd- August 27th) What weeks will camper #3 be attending?* Select All Week 1: Launch into Summer (June 28th- July 2nd) Week 2: Sports Mania (July 5th- July 9th) Week 3: Gooey Goodness (July 12th- July 16th) Week 4: Wacky Creations (July 19th- July 23rd) Week 5: Science Spectacular (July 26th- July 30th) Week 6: Summer Olympic (August 2nd- August 6th) Week 7: Games Galore (August 9th- August 13th) Week 8: Kitchen Creations (August 16th- August 20th) Week 9: Party The Summer Away (August 23rd- August 27th) What weeks will camper #4 be attending?* Select All Week 1: Launch into Summer (June 28th- July 2nd) Week 2: Sports Mania (July 5th- July 9th) Week 3: Gooey Goodness (July 12th- July 16th) Week 4: Wacky Creations (July 19th- July 23rd) Week 5: Science Spectacular (July 26th- July 30th) Week 6: Summer Olympic (August 2nd- August 6th) Week 7: Games Galore (August 9th- August 13th) Week 8: Kitchen Creations (August 16th- August 20th) Week 9: Party The Summer Away (August 23rd- August 27th) Count of Weeks Camper 1Count of Weeks Camper 2Count of Weeks Camper 3Count of Weeks Camper 4Total Deposit: Price: $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name