WHITE TIGER SUMMER CAMP 2020The undersigned acknowledges the existence of certain inherent risks in this type of training and hereby agrees to assume all risk himself. He further relieves White Tiger Taekwondo, its management, assigned or contracted instructors and his fellow students from any liability resulting from personal injury and/or loss of personal property. The participant must have medical insurance. Children with severe behavioralissues interfering with the activities of other campers will be sent home without refund. Parents must arrange for immediate pick up. Occasional photos or videos of class or special events may be taken. Such materials may be used as advertising media. Undersigned waives claim to all model rights whether active or passive. $25 fee to transfer weeks once registered. School/membership/event credit only on cancellations. For ages 5-12.

P E R S O N A L I N F O R M A T I O NName: ________________________________________ Birth date:________________ Age: ______Parent Name: __________________________________ Phone: _____________________________Address: ______________________________________ Cell: _______________________________City:_______________________ Zip code: _________ E-mail: _____________________________

M E D I C A L I N F O R M A T I O NIs the student allergic to any medication? q Yes q No If so, what? _________________________Is student currently taking medication? q Yes q No If so, what? _________________________Note any medical problems: _____________________________________________________________Please list any special dietary needs: ______________________________________________________Family doctor: _____________________________ Doctor phone: ______________________________Medical/Hospital Insurance: __________________ Hospital: __________________________________Policy number: ____________________________ Dentist phone: ______________________________

S E S S I O N D A T E S - C H E C K A L L S E S S I O N S Y O U W I S H T O A T T E N DDrop off time 7:30am or later • Pick up time 6:00pm or earlier

Campers will be separated when necessary by skill levels, age & size. All camps will enjoy Arts & Crafts, Taekwondo, Zipline, Moon-bounce, Rock Wall Climbing, Outdoor Water play, Flipping Harness, Playroom, Science, Movies on the giant screen, Samurai Water-

melon Ceremony and Special Guests. In addition, each week will focus on a theme:

q #1 June 15-19 Tumbling Camp Use of the 30 foot air trampoline, flipping harness and gymnastics equipment.

q #2 June 22-26 Breaking Camp Boards, apples, balloons for learning special breaking skills. Campers will perform their skills ina friendly competition at the end of the camp.

q #3 June 29-3 Nerf Ninja Camp Each day will be filled with obstacles, targets, and challenges to test your nerf skill set. You maybring your own nerf supplies or you may use ours.

q #4 July 6-10 Self Defense Camp Learn to defend yourself against a larger, stronger and faster opponent by utilizing leverage,pressure points and joint locks. Skill sets will include tumbling and rolling techniques. Training will be modifieddepending upon age and skill level.

q #5 July 13-17 Gladiator Camp Enjoy a variety of challenging obstacle courses, gladiator style games and more.

q #6 July 20-24 World Culture Camp Experience a world of cultures. Learn about different languages, customs, traditions,music, clothing, food and art.

q #7 July 27-31 Weapons Camp Learn a variety of safety and padded weapons. Foam chucks, bo staff, foam throwing stars andother nerf and water gun strategic warfare games.

q #8 Aug 3-7 Adventure Camp For the adventurer, activities include rock climbing, tiger sliding, tumble tracking, cargonetting and moon bouncing.

q #9 Aug 10-14 Art Camp Campers will experience a variety of arts and crafting projects. Learn from a variety of Artists and the use of different mediums. All materials will be supplied. Campers will display thier works at the end of camp.

q#10 Aug 17-21 Anti-Bully Camp Build self confidence, self esteem, increase social skills, work with body language and voice projection to decrease the appearance of being an easy target. Prepare for the best school year ever!

C A M P F E E S P E R S E S S I O NAmount paid:_____ q Cash q Credit q Online Registration must be paid in full to reserve space.

• $235/session for non-members • $225/session for members 10% discount for additional family members. White Tiger uniforms required to train in the afternoon Taekwondo class $45

Member hereby stipulates that he is physically sound and that he has medical approval to proceed with this type of training.

Limitations:_______________________________________________ Parent/guardian signature:________________________