2021 Summer Camp (06/07/2021-08/13/2021) - Registration Form
USA Shaolin Xiu summer camp program focuses on building confidence through fun and fitness. It is a camp for anybody (any level students) who wants to broaden their skills. Students will learn the basic KungFu techniques and weapons forms .
Location: 21732 Provincial Blvd. #100 Katy, TX 77450
Age: 5 and above
Morning Session: Monday to Friday 9:00 am - 11:00 am
Afternoon Session: Monday to Friday 1:30 am - 3:30 pm
Session Fee: $199.00 per week (Half day training - 2 hours)
$329.00 per week (Full day training - 4 hours)
$50.00 single class camp (2 hours)
Lunch: $40.00/week (option)
Camp Time: 8:45 am - 3:30 pm
8:45 am - 9:00 am (Early drop off)
9:00 am - 11:00 am (2 hours KungFu)
11:30 pm - 1:30 pm (lunch break)
1:30 pm - 3:30 pm ( 2 hours KungFu)
3:30 pm - 6:30 pm (after camp care)
Registration Fee: $35.00 per family (new student only)
* Early bird discount: $20.00 off & a FREE KungFu Shirt (sign up by April 30, 2021)
* Multiple camp discount: $10.00 off (enrolled for more than 3 weeks)
* Family discount: $10.00 off/camp
Camp Refund and Cancellation policy for camps:
* In order to process a refund, we must receive a cancellation notice 4 weeks prior to start of the camp. Refunds will be processed less a $50 processing fee per each camp.
* Cancellation made less than 4 weeks from the start of the camp will not be eligible for a refund. Partial refunds will not be issued for day(s) missed due to travel or illness.
If you are stay after camp, please pack a snack and a water bottle.
WE RESERVE THE RIGHT TO CANCEL A CAMP IF A CAMP DOES NOT REACH THE MINIMUM REGISTRATION NUMBERS ESTABLISHED BY US. IF THIS OCCURS YOU WILL BE PROVIDED THE OPTION OF A FULL REFUND OR THE CHOICE TO TRANSFER TO OTHER CLASS.
832 363 7994
Student Last Name
Student First Name
Morning Session 9:00am - 11:00am (Monday - Friday)
Afternoon Session 1:30pm - 3:30pm (Monday - Friday)
$199.00/week - 2 hours training, half day
$329.00/week - 4 hours training, full day
$50.00/Single Class Camp (2 Hours, half day)
$80.00/Single Class Camp (4 Hours, full day)
June 7 - 11
June 21 - 25
July 5 - 9
July 19 - 23
July 26 - 30
Aug. 2 - 6
Aug. 9 - 13
$35.00/Family. This fee applied to new students only, and it is non-refundable.
Currently enrolled student
Training Weapon Fee
$10.00 - Single Nanchaku (Beginner & Level 2)
$10.00 - Single Dagger
$20.00 - Double Nanchaku
Other Training Weapon - Higher level students ONLY
Lunch Option: $40.00/week
Please let us know if your child has any food allergies. Lunch menu: burger, chicken nuggets, pizza or Chinese food (fried rice)
After Camp Care (3:30 - 6:30pm)
How would you like to pay?
Chase QuickPay/Zelle Pay to
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