Camper InformationHow many students are registering for camp?*Please Select1234Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* 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? Camper AttendanceWeekly Rate $249 per week (week two only is $199 due to July 4th holiday) / Additional children: $219 per week (week two only is $175 due to July 4th holiday). 20% due at the time of registration ($49.80/ week for camper 1 and $43.80/week for campers 2-4). Deposit for week 2 only will be $39.80 for camper 1 and $35 for campers 2-4.Week 1: Summer Kick Off (June 27th-July 1st) HiddenFull Week 1: Summer Kick Off (June 27th-July 1st) FULL Week 1: (June 27th-July 1st) HiddenSummer Kick Off Day 1 Monday (June 27th) HiddenSummer Kick Off Day 2 Tuesday (June 28th) HiddenSummer Kick Off Day 3 Wednesday (June 29th) HiddenSummer Kick Off Day 4 Thursday (June 30th) HiddenSummer Kick Off Day 5 Friday (July 1st) Week 2: Sportastic (July 5th-July 8th) HiddenFull Week 2: Sportastic (July 11th-July 15th) FULL Week 2: (July 5th-July 8th) HiddenSportastic Day 1 Tuesday (July 5th) HiddenSportastic Day 2 Wednesday (July 6th) HiddenSportastic Day 3 Thursday (July 7th) HiddenSportastic Day 4 Friday (July 8th) Week 3: Color Me Crazy (July 11th-July 15th) HiddenWeek 3: Color Me Crazy (July 11th-July 15th) FULL Week 3: (July 11th-July 15th) HiddenColor Me Crazy Day 1 Monday (July 11th) HiddenColor Me Crazy Day 2 Tuesday (July 12th) HiddenColor Me Crazy Day 3 Wednesday (July 13th) HiddenColor Me Crazy Day 4 Thursday (July 14th) Color Me Crazy Day 5 Friday (July 15th) Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: (July 18th-July 22nd) Wacky Creations Day 1 Monday (July 18th) Wacky Creations Day 2 Tuesday (July 19th) Wacky Creations Day 3 Wednesday (July 20th) Wacky Creations Day 4 Thursday (July 21st) Wacky Creations Day 5 Friday (July 22nd) Week 5: We've Got Talent (July 25th-July 29th) HiddenFULL Week 5: We've Got Talent (July 25th-July 29th) FULL Week 5: (July 25th-July 29th) HiddenWe've Got Talent Day 1 Monday (July 25th) HiddenWe've Got Talent Day 2 Tuesday (July 26th) HiddenWe've Got Talent Day 3 Wednesday (July 27th) HiddenWe've Got Talent Day 4 Thursday (July 28th) HiddenWe've Got Talent Day 5 Friday (July 29th) Week 6: Mad Scientists (August 1st-August 5th Full Week Closed HiddenFULL Week 6: Mad Scientists (August 1st-August 5th) FULL Week 6: (August 1st-August 5th) HiddenMad Scientists Day 1 Monday (August 1st) HiddenMad Scientists Day 2 Tuesday (August 2nd) HiddenMad Scientists Day 3 Wednesday (August 3rd) HiddenMad Scientists Day 4 Thursday (August 4th) HiddenMad Scientists Day 5 Friday (August 5th) Week 7: Wide World of Sports (August 8th-August 12th) HiddenFULL Week 7: Wide World of Sports (August 8th-August 12th) FULL Week 7: (August 8th-August 12th) HiddenWide World of Sports Day 1 Monday (August 8th) HiddenWide World of Sports Day 2 Tuesday (August 9th) HiddenWide World of Sports Day 3 Wednesday (August 10th) HiddenWide World of Sports Day 4 Thursday (August 11th) HiddenWide World of Sports Day 5 Friday (August 12th) Week 8: Game On (August 15th-August 19th) FULL Week 8: Game On (August 15th-August 19th) FULL Week 8: (August 15th-August 19th) Game On Day 1 Monday (August 15th) Game On Day 2 Tuesday (August 16th) Game On Day 3 Wednesday (August 17th) Game On Day 4 Thursday (August 18th) Game On Day 5 Friday (August 19th) Week 9: Summer Send Off (August 22nd-August 26th) HiddenFULL Week 9: Summer Send Off (August 22nd-August 26th) FULL Week 9: (August 22nd-August 26th) HiddenSummer Send Off Day 1 Monday (August 22nd) HiddenSummer Send Off Day 2 Tuesday (August 23rd) HiddenSummer Send Off Day 3 Wednesday (August 24th) HiddenSummer Send Off Day 4 Thursday (August 25th) HiddenSummer Send Off Day 5 Friday (August 26th) Camper #1 (FULL Weeks will be attending)Camper #1 (Week 2 Discounted Price)Camper #1 (DAYS will be attending)2nd Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* 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? Week 1: Summer Kick Off (June 27th-July 1st) HiddenFull Week 1: Summer Kick Off (June 27th-July 1st) FULL Week 1: (June 27th-July 1st) HiddenSummer Kick Off Day 1 Monday (June 27th) HiddenSummer Kick Off Day 2 Tuesday (June 28th) HiddenSummer Kick Off Day 3 Wednesday (June 29th) HiddenSummer Kick Off Day 4 Thursday (June 30th) HiddenSummer Kick Off Day 5 Friday (July 1st) Week 2: Sportastic (July 5th-July 8th) HiddenFull Week 2: Sportastic (July 11th-July 15th) FULL Week 2: (July 5th-July 8th) HiddenSportastic Day 1 Tuesday (July 5th) HiddenSportastic Day 2 Wednesday (July 6th) HiddenSportastic Day 3 Thursday (July 7th) HiddenSportastic Day 4 Friday (July 8th) Week 3: Color Me Crazy (July 11th-July 15th) HiddenWeek 3: Color Me Crazy (July 11th-July 15th) FULL Week 3: (July 11th-July 15th) Color Me Crazy Day 1 Monday (July 11th) HiddenColor Me Crazy Day 2 Tuesday (July 12th) HiddenColor Me Crazy Day 3 Wednesday (July 13th) HiddenColor Me Crazy Day 4 Thursday (July 14th) Color Me Crazy Day 5 Friday (July 15th) Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: (July 18th-July 22nd) Wacky Creations Day 1 Monday (July 18th) Wacky Creations Day 2 Tuesday (July 19th) Wacky Creations Day 3 Wednesday (July 20th) Wacky Creations Day 4 Thursday (July 21st) Wacky Creations Day 5 Friday (July 22nd) Week 5: We've Got Talent (July 25th-July 29th) HiddenFULL Week 5: We've Got Talent (July 25th-July 29th) FULL Week 5: (July 25th-July 29th) HiddenWe've Got Talent Day 1 Monday (July 25th) HiddenWe've Got Talent Day 2 Tuesday (July 26th) HiddenWe've Got Talent Day 3 Wednesday (July 27th) HiddenWe've Got Talent Day 4 Thursday (July 28th) HiddenWe've Got Talent Day 5 Friday (July 29th) Week 6: Mad Scientists (August 1st-August 5th) CLOSED HiddenFULL Week 6: Mad Scientists (August 1st-August 5th) FULL Week 6: (August 1st-August 5th) HiddenMad Scientists Day 1 Monday (August 1st) HiddenMad Scientists Day 2 Tuesday (August 2nd) HiddenMad Scientists Day 3 Wednesday (August 3rd) HiddenMad Scientists Day 4 Thursday (August 4th) HiddenMad Scientists Day 5 Friday (August 5th) Week 7: Wide World of Sports (August 8th-August 12th) HiddenFULL Week 7: Wide World of Sports (August 8th-August 12th) FULL Week 7: (August 8th-August 12th) HiddenWide World of Sports Day 1 Monday (August 8th) HiddenWide World of Sports Day 2 Tuesday (August 9th) HiddenWide World of Sports Day 3 Wednesday (August 10th) HiddenWide World of Sports Day 4 Thursday (August 11th) HiddenWide World of Sports Day 5 Friday (August 12th) Week 8: Game On (August 15th-August 19th) FULL Week 8: Game On (August 15th-August 19th) FULL Week 8: (August 15th-August 19th) Game On Day 1 Monday (August 15th) Game On Day 2 Tuesday (August 16th) Game On Day 3 Wednesday (August 17th) Game On Day 4 Thursday (August 18th) Game On Day 5 Friday (August 19th) Week 9: Summer Send Off (August 22nd-August 26th) HiddenFULL Week 9: Summer Send Off (August 22nd-August 26th) FULL Week 9: (August 22nd-August 26th) HiddenSummer Send Off Day 1 Monday (August 22nd) HiddenSummer Send Off Day 2 Tuesday (August 23rd) HiddenSummer Send Off Day 3 Wednesday (August 24th) HiddenSummer Send Off Day 4 Thursday (August 25th) HiddenSummer Send Off Day 5 Friday (August 26th) Camper #2 (FULL Weeks will be attending)Camper #2 (Week 2 Discounted Price)Camper #2 (DAYS will be attending)3rd Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* 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? Week 1: Summer Kick Off (June 27th-July 1st) HiddenFull Week 1: Summer Kick Off (June 27th-July 1st) FULL Week 1: (June 27th-July 1st) HiddenSummer Kick Off Day 1 Monday (June 27th) HiddenSummer Kick Off Day 2 Tuesday (June 28th) HiddenSummer Kick Off Day 3 Wednesday (June 29th) HiddenSummer Kick Off Day 4 Thursday (June 30th) HiddenSummer Kick Off Day 5 Friday (July 1st) Week 2: Sportastic (July 5th-July 8th) HiddenFull Week 2: Sportastic (July 11th-July 15th) FULL Week 2: (July 5th-July 8th) HiddenSportastic Day 1 Tuesday (July 5th) HiddenSportastic Day 2 Wednesday (July 6th) HiddenSportastic Day 3 Thursday (July 7th) HiddenSportastic Day 4 Friday (July 8th) Week 3: Color Me Crazy (July 11th-July 15th) HiddenWeek 3: Color Me Crazy (July 11th-July 15th) FULL Week 3: (July 11th-July 15th) Color Me Crazy Day 1 Monday (July 11th) HiddenColor Me Crazy Day 2 Tuesday (July 12th) HiddenColor Me Crazy Day 3 Wednesday (July 13th) HiddenColor Me Crazy Day 4 Thursday (July 14th) Color Me Crazy Day 5 Friday (July 15th) Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: (July 18th-July 22nd) Wacky Creations Day 1 Monday (July 18th) Wacky Creations Day 2 Tuesday (July 19th) Wacky Creations Day 3 Wednesday (July 20th) Wacky Creations Day 4 Thursday (July 21st) Wacky Creations Day 5 Friday (July 22nd) Week 5: We've Got Talent (July 25th-July 29th) HiddenFULL Week 5: We've Got Talent (July 25th-July 29th) FULL Week 5: (July 25th-July 29th) HiddenWe've Got Talent Day 1 Monday (July 25th) HiddenWe've Got Talent Day 2 Tuesday (July 26th) HiddenWe've Got Talent Day 3 Wednesday (July 27th) HiddenWe've Got Talent Day 4 Thursday (July 28th) HiddenWe've Got Talent Day 5 Friday (July 29th) Week 6: Mad Scientists (August 1st-August 5th) CLOSED HiddenFULL Week 6: Mad Scientists (August 1st-August 5th) FULL Week 6: (August 1st-August 5th) HiddenMad Scientists Day 1 Monday (August 1st) HiddenMad Scientists Day 2 Tuesday (August 2nd) HiddenMad Scientists Day 3 Wednesday (August 3rd) HiddenMad Scientists Day 4 Thursday (August 4th) HiddenMad Scientists Day 5 Friday (August 5th) Week 7: Wide World of Sports (August 8th-August 12th) HiddenFULL Week 7: Wide World of Sports (August 8th-August 12th) FULL Week 7: (August 8th-August 12th) HiddenWide World of Sports Day 1 Monday (August 8th) HiddenWide World of Sports Day 2 Tuesday (August 9th) HiddenWide World of Sports Day 3 Wednesday (August 10th) HiddenWide World of Sports Day 4 Thursday (August 11th) HiddenWide World of Sports Day 5 Friday (August 12th) Week 8: Game On (August 15th-August 19th) FULL Week 8: Game On (August 15th-August 19th) FULL Week 8: (August 15th-August 19th) Game On Day 1 Monday (August 15th) Game On Day 2 Tuesday (August 16th) Game On Day 3 Wednesday (August 17th) Game On Day 4 Thursday (August 18th) Game On Day 5 Friday (August 19th) Week 9: Summer Send Off (August 22nd-August 26th) HiddenFULL Week 9: Summer Send Off (August 22nd-August 26th) FULL Week 9: (August 22nd-August 26th) HiddenSummer Send Off Day 1 Monday (August 22nd) HiddenSummer Send Off Day 2 Tuesday (August 23rd) HiddenSummer Send Off Day 3 Wednesday (August 24th) HiddenSummer Send Off Day 4 Thursday (August 25th) HiddenSummer Send Off Day 5 Friday (August 26th) Camper #3 (FULL Weeks will be attending)Camper #3 (Week 2 Discounted Price)Camper #3 (DAYS will be attending)4th Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* 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? Week 1: Summer Kick Off (June 27th-July 1st) CLOSED HiddenFull Week 1: Summer Kick Off (June 27th-July 1st) FULL Week 1: (June 27th-July 1st) HiddenSummer Kick Off Day 1 Monday (June 27th) HiddenSummer Kick Off Day 2 Tuesday (June 28th) HiddenSummer Kick Off Day 3 Wednesday (June 29th) HiddenSummer Kick Off Day 4 Thursday (June 30th) HiddenSummer Kick Off Day 5 Friday (July 1st) Week 2: Sportastic (July 5th-July 8th) HiddenFull Week 2: Sportastic (July 11th-July 15th) FULL Week 2: (July 5th-July 8th) HiddenSportastic Day 1 Tuesday (July 5th) HiddenSportastic Day 2 Wednesday (July 6th) HiddenSportastic Day 3 Thursday (July 7th) HiddenSportastic Day 4 Friday (July 8th) Week 3: Color Me Crazy (July 11th-July 15th) HiddenWeek 3: Color Me Crazy (July 11th-July 15th) FULL Week 3: (July 11th-July 15th) HiddenColor Me Crazy Day 1 Monday (July 11th) HiddenColor Me Crazy Day 2 Tuesday (July 12th) HiddenColor Me Crazy Day 3 Wednesday (July 13th) HiddenColor Me Crazy Day 4 Thursday (July 14th) Color Me Crazy Day 5 Friday (July 15th) Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: Wacky Creations (July 18th-July 22nd) FULL Week 4: (July 18th-July 22nd) Wacky Creations Day 1 Monday (July 18th) Wacky Creations Day 2 Tuesday (July 19th) Wacky Creations Day 3 Wednesday (July 20th) HiddenWacky Creations Day 4 Thursday (July 21st) Wacky Creations Day 5 Friday (July 22nd) Week 5: We've Got Talent (July 25th-July 29th) HiddenFULL Week 5: We've Got Talent (July 25th-July 29th) FULL Week 5: (July 25th-July 29th) HiddenWe've Got Talent Day 1 Monday (July 25th) HiddenWe've Got Talent Day 2 Tuesday (July 26th) HiddenWe've Got Talent Day 3 Wednesday (July 27th) HiddenWe've Got Talent Day 4 Thursday (July 28th) HiddenWe've Got Talent Day 5 Friday (July 29th) Week 6: Mad Scientists (August 1st-August 5th) CLOSED HiddenFULL Week 6: Mad Scientists (August 1st-August 5th) FULL Week 6: (August 1st-August 5th) HiddenMad Scientists Day 1 Monday (August 1st) HiddenMad Scientists Day 2 Tuesday (August 2nd) HiddenMad Scientists Day 3 Wednesday (August 3rd) HiddenMad Scientists Day 4 Thursday (August 4th) HiddenMad Scientists Day 5 Friday (August 5th) Week 7: Wide World of Sports (August 8th-August 12th) HiddenFULL Week 7: Wide World of Sports (August 8th-August 12th) FULL Week 7: (August 8th-August 12th) HiddenWide World of Sports Day 1 Monday (August 8th) HiddenWide World of Sports Day 2 Tuesday (August 9th) HiddenWide World of Sports Day 3 Wednesday (August 10th) HiddenWide World of Sports Day 4 Thursday (August 11th) HiddenWide World of Sports Day 5 Friday (August 12th) Week 8: Game On (August 15th-August 19th) FULL Week 8: Game On (August 15th-August 19th) FULL Week 8: (August 15th-August 19th) Game On Day 1 Monday (August 15th) Game On Day 2 Tuesday (August 16th) Game On Day 3 Wednesday (August 17th) Game On Day 4 Thursday (August 18th) Game On Day 5 Friday (August 19th) Week 9: Summer Send Off (August 22nd-August 26th) HiddenFULL Week 9: Summer Send Off (August 22nd-August 26th) FULL Week 9: (August 22nd-August 26th) HiddenSummer Send Off Day 1 Monday (August 22nd) HiddenSummer Send Off Day 2 Tuesday (August 23rd) HiddenSummer Send Off Day 3 Wednesday (August 24th) HiddenSummer Send Off Day 4 Thursday (August 25th) HiddenSummer Send Off Day 5 Friday (August 26th) Camper #4 (FULL Weeks will be attending)Camper #4 (Week 2 Discounted Price)Camper #4 (DAYS will be attending) Parent/Guardian InformationPrimary 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 Camper Consent to Pickup Name #2 First Last Relation to Camper Consent 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. BillingTotal Deposit: $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name HiddenSection Break Δ