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 27 - July 1
Week 2: July 11 - July 15
Week 3: July 18 - July 22
Week 4: July 25 - July 29
Week 5: August 8 - August 12
Week 6: August 15 - August 19
Week 7: August 22 - August 26
Week 8: August 29 - September 2
Does the student have any previous experience in Martial Arts?
Yes
No
If so, which style?
Comments:
*
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