5522 New Peachtree Rd. Suite 103 Chamblee, Georgia 30341

770-220-1876

LGK Summer & Spring Break Camp

Full Day Camp for ages 5-12

Learn martial arts in a fun & safe environment.

Open to all ability levels – no experience necessary!

Counselors are all certified Lewis Global Karate Black Belts.

We are a Martial Arts School, and that is our focus for Summer Camp. However, we realize that children cannot do training for 7 hours in a row, so we have planned many other activities as well.

Camp is 9AM-4PM

Drop off time 8:00AM-9AM

Pick up time 4-6PM

A typical day might look like this:

Pre-Camp: Drop off time 8:00AM – 9:00AM

Morning Lesson

Games

Lunch

Table-top activities (board games, arts & crafts, cards etc…)

Special event (self-defense class, field trip, special guest instructor, board breaking class)

Snack time

Afternoon lesson

Post Camp: Pickup time 4:00PM – 6:00PM

What you need to bring:

  1. Lunch
  2. Comfortable clothing – Including your camp T-Shirt (provided on Monday)
  3. Water bottle
  4. Snack
  5. Shoes – we will go to the park if weather is nice.

5522 New Peachtree Rd. Suite 103 Chamblee, Georgia 30341

770-220-1876

LGK Summer & Spring Break Camp

2017

Sessions and Pricing:

Spring Break session: April 3-7

Summer Camp sessions available now:

1. June 5-9

2. July 24-28

More sessions may be added if there is sufficient demand.

Pricing:

Price is $170 per week for one child.
$320 per week for two children.
$450 per week for three children.

Registration is $30 for one child.
$50 for two.
$75 for three.
You will only register once for the whole year.

Daily rate: $60Three days equals a full week

LGK Summer & Spring Break Camp Registration Form

5522 New Peachtree Rd Suite 103, Chamblee, Georgia 30341 770 220 1876

Parent/Buyer’s Name:______
Address:______
City:______State____Zip______
Email:______
Payment info (if paying by credit card)
Card #______
Exp. ______
______Use Payment information on file / 1. Child’s Name______
D.O.B______T-Shirt Size______
2. Child’s Name______
D.O.B______T-Shirt Size______
3. Child’s Name______
D.O.B______T-Shirt Size______
Medical Issues/Allergies:
Phone Number______
Cell Phone______
Emergency Contact / Persons Authorized to Pick up Child:
Name______Phone:______
Name______Phone:______
Name______Phone:______/ Check Weeks Attending:
Registration Fee:______Date ______Method____
___Spring:4/3-4/7 Amount ______Date______Method____
___June 5-9:Amount ______Date______Method____
___July 24-28: Amount ______Date______Method____

Points of Understanding, Rules Regulations, & Disclaimer

Tuition is due on Friday before the upcoming week. A $10.00 late fee will be assessed if paid after Monday morning at 9:00AM. A $30.00 returned check fee will be imposed for any returned checks.

This program is not licensed by the State of Georgia, nor is it required to be licensed by the State of Georgia.

This program is covered by liability insurance.

I understand that Lewis Global Karate, LLC is a martial arts school and not a daycare in as such; their stock-in-trade is not supervision and care. The intent of Lewis Global Karate, LLC is to teach martial arts physical and philosophical character building skills. Additionally, if my child(ren) stays at Lewis Global Karate, LLC it is because of my direction and not Lewis Global Karate, LLC

WAIVER & RELEASE: Buyer and Student(s) agree that Student(s) is engaging in physical exercise, the use of equipment, and the use of Lewis Global Karate, LLC training and instruction facility, which can be dangerous to the Student(s) and could cause injury to Student(s). Student(s) is voluntarily participating in these activities and Buyer and Student(s) assume all risks of injury to Student. Buyer and Student hereby waive and release any claim or right to sue Lewis Global Karate, LLC, employees or agents for injury to Student(s). Buyer and/or Student have carefully read this waiver and release and fully understand, it is a release of all liabilities and damages to Lewis Global Karate LLC because of any injury that may occur. Lewis Global Karate, LLC will make no evaluation or recommendation whether Student(s) or guests are physically fit for any exercise activities. It is always advisable to consult your physician before undertaking a physical exercise program, particularly martial arts activities.

LOSS/DAMAGE/THEFT OF STUDENT’S PROPERTY: Lewis Global Karate, LLC does not assume any responsibility for the loss, damage or theft of any property belonging to the Student and Student agrees that Lewis Global Karate, LLC and its personnel are not responsible for or liable for any such property even if its loss, damage, or theft occurs on or about Lewis Global Karate, LLC facility.

Buyer understands this is a legal and binding contract that must be satisfied in full, regardless if the student attends classes or student does not attend classes. We require a 30 Day noticeto cancel. Written documentation is required.

The supervision and care of the children are incidental to their participation in the activity or training in Lewis Global Karate, LLC. The program provider is not assuming responsibility for the provision of daily child care outside the scheduled program.

Read this document in its entirety and enter all appropriate data before signing.

Parent/ Guardian Signature ______Date ______