Dojo Camp 2020
* Required
Email address
*
Your email
Phone
*
Your answer
Camper Information
Choose your session(s).
Session One
7/13-7/17
Session Two
8/10-8/14
Session Three
8/24-8/28
Name
*
Your answer
Birthdate
MM
/
DD
/
YYYY
Shirt Size
Choose
XS
S
M
L
AS
AM
Extra Shirt ($20)
Extra Shirt
Medical Issues?
*
No
Yes
If yes, please provide details:
Your answer
Food Allergies?
*
No
Yes
If yes, please provide details:
Your answer
Payment Information
Dojo Camp is $500. A $100 deposit is due at the time of sign up. The balance is due by June 1. Additional camp sessions or additional campers are discounted to $450.
Credit card
Check
Cash
Installment: Balance can be broken into equal payments to be automatically deducted from the family's account on the ____ of each month.
Clear selection
The health and safety of our Dojo campers is the top concern of every Dojo staff member. However, any physical activity carries with it the risk of injury. In the event of any injury, the undersigned parent and/or legal guardian hereby waives any and all claims against The Dojo, its owners, and its employees. By checking this box, you agree to our terms.
*
I agree
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A copy of your responses will be emailed to the address you provided.
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