Professional Tae Kwon Do, Summer Camp Information Form
Parent / Guardian Name:
Contact Phone Number:
Best Time to Call:
E-Mail Address:
Student Name:
Date of Birth:
Age:
Does the student have any medical considerations,
such as diabetes, high blood pressure or asthma?
Yes
No
If yes, please explain:
Camp Dates - Please indicate dates you are interested in: (Select all that apply)
Week 1: June 21-25
Week 2: June 28-July 2
Week 3: July 5-9
Week 4: July 12-16
Week 5: July 19-23
Week 6: July 26-30
Week 7: August 2-6
Week 8: August 9-13
Week 9: August 16-20
Week 10: August 23-27
Week 11: August 30-September 3
Does the student have any previous experience in Martial Arts?
Yes
No
If so, which style?
Comments:
*
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