2021 East Amherst Summer Camp - Master Chong's Taekwondo

Camper Information
How many students are registering for camp?*
Participant Name*
First Last
Gender*
Date of Birth*
Date Format: MM slash DD slash YYYY
Grade*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?
Does your child have any allergies?*
Please describe*
Is there any additional information you would like us to know about your child?
2nd Participant Name*
First Last
Gender*
Date of Birth*
Date Format: MM slash DD slash YYYY
Grade*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?
If yes, which location?
If yes, which location?
Does your child have any allergies?*
Please 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*
Date of Birth*
Date Format: MM slash DD slash YYYY
Grade*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?
If yes, which location?
Does your child have any allergies?*
Please describe*
Please describe*
Is there any additional information you would like us to know about your child?
4th Participant Name*
First Last
Gender*
Date of Birth*
Date Format: MM slash DD slash YYYY
T-Shirt Size*
Grade*
Is participant a TKD Student?*
If yes, which location?
Does your child have any allergies?*
Please describe*
Is there any additional information you would like us to know about your child?

Adult Demographics
Primary Parent/Guardian*
First Last
Primary Phone*
Secondary Phone
Email*
Address*
Street Address Address Line 2 City State ZIP Code
How did you find out about our camp?*
Secondary Parent/Guardian
First Last
Primary Phone
Secondary Phone
Email
Emergency Contact*
First Last
Emergency Contact Primary Phone*
Emergency Contact Secondary Phone
Emergency Contact*
First Last
Emergency Contact Primary Phone*
Emergency Contact Secondary Phone
Consent to Pickup Name #1
First Last
Relation to Camper
Consent to Pickup Name #2
First Last
Relation to Camper
Consent to Pickup Name #3
First Last
Relation to Camper

Consent Waivers
Sunscreen 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/Billing
What 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 1
Count of Weeks Camper 2
Count of Weeks Camper 3
Count of Weeks Camper 4
Total Deposit:
Price: $0.00
Credit Card*

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