780 South Plaza Drive Mendota Heights, MN 55120

651-683-0355

www.boltzstkd.com

Family Martial Arts Academy

Camp Staff

General Info

Registration requires a registration fee of $25 (includes a FREE t-shirt) and a $25 non-refundable deposit for each week-long camps and a $5/day deposit for Adventure Day Camps. Deposit will be credited towards the cost of camp and the remaining balance is due by the first day of camp. Camp Hours

Drop-off time is 9 a.m. Pick-up time is 4 p.m.

Extended Care is Available

Before-Camp Care (8-9a.m.): $5/day. After-Camp Care (4-5 p.m.): $5/day.

Lunch Options

All Campers bring bag lunch with the exception of Samurai Camp Samurai Camp: bag lunch or money

No heating or refrigeration is available. Personal Items Required

Daily: Sunblock Tuesdays: towel and swim suit with the exception of Samu-rai Camp and Action Movie Camp.

Emergency Contact Form

All Campers MUST have an Emergency Contact form filled out completely to attend camp. Form can be found on website: www.boltzstkd.com

Do Not Bring Cell Phones, Video Games, iPod or Snacks! Additional questions? Contact the school for answers!

Family Martial Arts Academy - Boltz’s Taekwondo 651-683-0355 info@boltzstkd.com

Master Boltz

School Owner 5th Degree Black Belt

Jenni DiOttaviano Program Director

Ms. Jerah Comer Camp Counselor

Ms. Autumn Chiado Camp Counselor

1st Degree Black Belt

Ms. Amber Chiado Camp Counselor

1st Degree Black Belt

Mr. Tom Burns 1st Degree Black Belt

Mr. Alex Bolton 2nd Degree Black Belt

Michelle Betts Camp Director

June 11

Kick-off your summer vacation with Adventure Day Camps!

Price: $40/day* *Price includes entrance to field trip destination!

$40 per

day!

June 12 June 13 June 14 June 15

5 for $35 Sign up for 5 or

more camps a get $5 off per day!

Tropics Indoor Water Park

Offered 3 times

this summer!

Camp Activities

Each week of Samurai Camp will include, but is not limited to, the following activities:

Daily swords training to hone the Ninja Warrior skills with the sword through drills and games!

Martial arts classes to build strength in body and in mind to increase the impact the warrior can deliver.

Arts and crafts to allow the warriors to express themselves and build memories to share with family.

Playing games and building friendships to make summer memories that will last forever!

Become a Ninja Warrior!

Come to Samurai Summer Camp!

Learn Ninja Warrior sword techniques with padded weapons as well as many other Taekwondo and martial arts skills. Sign up early for our most popular

camp to-date! Space will fill up quickly and we want to see YOU there!

June 18-22, August 20-24, August 27-30 Price: $150/week

Do you like castles and Camelot? Knights and wizards? Princesses and sorcerers?

Come to our Medieval Fun Camp!

Learn martial arts skills and weaponry dating back to the Dark Ages! Enjoy ex-citing classes including padded swords and shields — just like the knights from long ago! Join your friends on an incredible journey to the medieval days and

make unforgettable memories!

Dates: June 25-29 Price: $150/week

Friday field trip to Chutes and Ladders in Bloomington

Tuesday beach trip to Carver Beach

Wednesday field trip to Treasure Island playground

Camp Activities

Each week of Action Movie Camp will include, but is not limited to, the following activities: Daily scenes and lines rehearsal for scenes to be filmed that day and open sequences to be finalized after stars’ input!

Daily training in choreographed fighting sequences to be filmed for the movie!

Arts, crafts and set preparations to allow the warriors to express themselves and build memories to share with family.

Playing games and building friendships that make summer memories that will last forever!

Lights! Camera! Action!

Act and star in your own action movie! Choreographed, rehearsed and filmed on-site and on-location, each student has the opportunity to be a star!

You must sign up for both weeks!

You can’t become a star overnight but you can within two weeks at this incredible camp!

Dates: July 9-13 & July 16-20 Price: $199/week

Action Movie Camp involves all aspects of making an original martial arts movie from sets to scripts to stunts and then to the finished product of a DVD.

Campers must be able to attend both sessions and all days of camp.

Unleash your inner Drama Queen or Drama King!

Join us for Performing Arts Camp!

Learn two dances — lyrical and hip-hop! Join us in Ultimate Kid Karaoke! Participate in a One Act play that we will be performing for our neighbors at

Parkview Plaza Assisted Living on Friday, July 27 (parents welcome)! This camp is perfect for the aspiring stage star or for the camper who has a bit

of stage fright to overcome!

Dates: July 23-27 Price: $150/week

Tuesday beach trip to Lake Josephine!

Camp Activities

The week of Around the World in 5 Days Camp will include, but is not limited to, the following activities:

Daily training in martial arts and with the martial arts weapon the Kama to hone the international Warrior skills!

Midday Mash Up & Variety Hour with storytelling, games, sports, field trips and more.

Arts and crafts allow the world travelers to express themselves and build memories to share with family.

Oh! The Places You Will Go!

Learn international self-defense techniques and weaponry from around the globe! Learn cool, unusual facts about places unknown and see where the week takes you!

Dates: July 30-August 3 Price: $150/week

Tuesday beach trip to Lake Nokomis

Friday field trip to Fort Snelling

Camp Activities

This week of Beach Party Camp will include, but is not limited to, the following activities:

Daily training in martial arts and to hone your skills!

Midday Mash Up & Variety Hour with storytelling, games, sports, field trips and more.

Arts and crafts allow the warriors to express themselves and build memories to share with family.

Playing games and building friendships to make summer memories that will last forever!

Beat the heat with us as we charge towards the end of summer!

Beach Party Camp will include beach games like outdoor volleyball, water games, arts and crafts, bingo and of course, a field trip to Lake Hiawatha

Beach! The week will also include martial arts classes and a second field trip to the Dakota County Fair!

Dates: August 6-10 Price: $150/week

Tuesday beach trip to Lake Hiawatha Beach

Friday field trip to the Dakota County Fair

August 13

End your summer vacation with Adventure Day Camps!

Price: $40/day (Price includes entrance to field trip destination!)

$40 per

day!

August 14 August 15 August 16 August 17

5 for $35 Sign up for 5 or

more camps a get $5 off per day!

PINZ

Bowling

Lake

Elmo

Beach

Adventure Day Camps $5 non-refundable deposit per day required to

reserve your spot

June 11: Grand Slam $40

Before Care $5 After Care $5 June 12: Edinborough Park $40

Before Care $5 After Care $5 June 13: Bakken Museum $40

Before Care $5 After Care $5 June 14: Como Zoo $40

Before Care $5 After Care $5 June 15: The Tropics $40

Before Care $5 After Care $5

Camper’s Name: ________________________________________ Age: _____ Date of Birth: __________ Address: ______________________________________________ City: _______________ Zip: _________ Parent/Guardian’s Name: _________________________________ Phone: ______________________________ Email: ________________________________________________ T-Shirt: (Youth) S M L (Adult) S M L

Week-Long Camps $25 non-refundable deposit/week required to reserve your spot

June 18-22: Samurai Camp $150

Before Care $5 After Care $5 June 25-29: Medieval Fun Camp $150

Before Care $5 After Care $5 July 9-13 Action Movie Camp I $398

July 16-20 Action Movie Camp II

Before Care $5 After Care $5 July 23-27: Performing Arts Camp $150

Before Care $5 After Care $5 Jul 30-Aug 3: Around the World in 5 Days $150

Before Care $5 After Care $5 Aug. 6-10: Beach Party Camp $150

Before Care $5 After Care $5 Aug. 20-24: Samurai Camp $150

Before Care $5 After Care $5 Aug. 27-30: Samurai Camp $150

Before Care $5 After Care $5

Adventure Day Camps $5 non-refundable deposit per day required to

reserve your spot

Aug. 13: Pinz Bowling $40

Before Care $5 After Care $5

Aug. 14: Club Just Jump $40

Before Care $5 After Care $5

Aug. 15: Lake Elmo Beach $40

Before Care $5 After Care $5

Aug. 16: Eagle’s Nest $40

Before Care $5 After Care $5

Aug 17: St. Louis Pk Aquatic $40

Before Care $5 After Care $5

Registration Process Complete this form and turn it into the gym with $25 registration fee (includes FREE 2012 Summer Camp t-shirt) and

deposits for all camp weeks and/or days.

*Early Bird Special: Register by March 15 and re-ceive 20% off each camp. Register by April 15 and

receive 10% off each camp!

Office Use Only:

Registration Complete

Registration Fee Received

Deposit(s) Paid $_______

Early Bird Registration

March 15

April 15