2018 Jay Pages Jiu-Jitsu Kids Summer Camp!
Event Details:
Date: June 18 - 22, 2018
Cost: $175 for the week, $50 per day, and siblings get an extra $50 off!

Event Address: 6150 W. Chandler Blvd., Suite 5, Chandler, AZ 85226

Contact Lisa Pages at (480) 231-0747 or lisapagesbjj@gmail.com

Child's Name *
Your answer
Parent or Legal Guardian Name *
Your answer
Email *
Your answer
Home Address *
Your answer
Phone (Number you can be reached at during the camp!) *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Doctors Name and Phone Number *
Your answer
Hospital Name and Phone Number *
Your answer
Allergies *
Your answer
Medical Conditions *
Your answer
Anything else we need to know about your child? *
Your answer
By submitting this form, I, the parent name listed above, understand that I will have to pay cost of the camp upon arrival at the first day. I also understand I will be required to fill out a special camp waiver for my child as well. *
Required
THANK YOU FOR JOINING THE JAY PAGES JIU-JITSU CAMP!
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