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Name: __________________________________________________________________________________ Address: ________________________________________________________________________________ City: _______________________________________________________ State: ______ Zip: _____________ Home Phone: _____________________________________ Date of Birth:____________________________ Mother’s Name:____________________________________ Work/Cell #: ____________________________ Father’s Name: ____________________________________ Work/Cell #: ____________________________ How Did you hear about camp? (___) Camper/Student Referral (___) Internet (___) Direct Mailing (___) Other ______________________________________________________________________________ Parent/Guardian Signature: _________________________________________________________________ Please send me _____ additional brochures. (___) Enclosed is $50 deposit/week (___) Enclosed is full payment Please charge my: (___) Mastercard (___) Visa Amount ___________________ Account #: __________-__________-__________-__________ Exp. Date: ______/______ CSC#: _________ Signature: _________________________________________________________Date: __________________ Make checks payable to: American Karate Studios, Inc. Mail to: American Karate Studios, Inc., 2583 West Chester Pike, Broomall, PA 19008 I hereby authorize the staff of American Karate Studios, Inc. to act for me according to their best judgment in any emergency requiring medical attention and I hereby waive and release American Karate Studios, Inc. from any and all liability for any injuries or illness incurred while at Camp. I have no knowledge of any physical impairment that would be affected by the above name Camper’s participation in the Camp program. I also understand that American Karate Studios, Inc. retains the right to use for publicity and advertising purposes, photographs and videotapes of Campers taken at Camp.
Signature: _________________________________________________________ Date: _________________ Extended hours can be added for an additional $7 per hour, please call for arrangements. |
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REGISTRATION A deposit of $50 per week of camp must accompany the application, with the balance to be paid in full by June 1, 2010. Upon receipt of your application, you will receive a confirmation, information form, Karate Kamp Rules and Regulations, and detailed information regarding camp. Full payment of the tuition is required for all applications received after June 1, 2010. Call or stop in to register or print and mail in our web application. Class size limited so ENROLL EARLY! School T-Shirt required at $12.00 per shirt. Uniforms optional for $30.00. |
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REFUNDS Full refunds will be issued prior to May 1, 2010. After May 1, 2010, with receipt of written cancellation notice, refunds, minus a $50.00 administrative fee, will be issued in the form of a tuition credit that can be used towards any future American Karate Studios, Inc. activities. We reserve the right to dismiss any camper whose conduct is detrimental to the camp and no refund will be issued. No deduction is made for late arrival or early departure. No refund will be made for withdrawal or absence due to illness or family vacation. CAMP HOURS Camp hours are from 9 am to 3:30 pm for full day sessions. Half day am session hours are from 9 am to 12 pm and half day pm session hours are from 12:30 pm to 3:30 pm. EXTENDED HOURS Extended hours are available for working parents for an additional $7 per hour. Please contact school office to make arrangements. SNACKS AND LUNCH Lunch and snacks are not provided except for Special Activity Days. CANCELLATION American Karate reserves the right to cancel courses for inadequate enrollment. If requested sessions are booked, American Karate Studios, Inc. will make every effort to accommodate your child in another sessions or time slot. TRIAL CLASS A free trial class may be scheduled prior to enrollment before 5/1/11, by appointment. Call for more information or stop in to view our facilities. QUESTIONS Feel free to stop in, contact our office, for additional information at 610-353-4767. |





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What Can Kenpo Karate Do For Your Child? There are many physical and mental benefits in a good Martial Arts program. At American Karate Studios, the students will benefit from increased flexibility and strength in a relaxed but disciplined atmosphere. It is important to us that your child enjoy their training and wish to develop it further. At our Summer Camp we combine practical training with games that enhance a child’s physical conditioning, and at the same time offer good healthy FUN. Parents also will see the mental benefits encouraged. First and foremost is Self Confidence. Children are encouraged to believe in their own powers and ability to succeed. Focus helps them to have a more concentrated attention span. Discipline helps them to train and develop their self control by exercise. Through martial arts training, the student’s goal is to learn to apply these attributes to everyday life. |
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About our Teachers: American Karate has been operating at this location for over 34 years. Your child will be taught by dedicated and patient instructors. All our Black Belt instructors are certified In Kenpo Karate, headed by 5th Degree Black Belt Marc Shay, with 31 years experience at this school. Our instructors are chosen for their years of experience with us and their ability to teach children. |
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DAY CAMP APPLICATION—2011 |
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2 Day 1/2 Day |
2 Day Full Day |
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$75.00 |
$150.00 |
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(All prices are per session — Tuesday & Thursday) |
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Session Sub-Total From Above |
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-10% if add’l family member |
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-10% if enrolled by May 1, 2011 |
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30% if current AKS student |
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Session Total |
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Amount of deposit included |
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Balance Due by June 1, 2011 |
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SELECT DATES |
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June 14-16 |
Sports |
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June 21-23 |
Child Safety |
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June 28-30 |
Stars & Stripes |
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July 5-7 |
Science |
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July 12-14 |
Carnival |
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July 19-21 |
Sports |
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July 26-28 |
Tumble |
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August 2-4 |
Luau |
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August 9-11 |
Games |
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August 16-18 |
Sports |
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DAILY SCHEDULE |
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8 am to 9 am |
Early Drop Off |
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9am to 9:15 am |
Stretching |
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9:15 am to 9:30 am |
Obstacle Courses & Drills |
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9:30 am to 10 am |
Snacks |
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10 am to 11:00 am |
Karate Class |
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11:00 am to 12:15 pm |
Arts & Crafts |
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12:15 pm to 1 pm |
Lunch |
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1 pm to 2 pm |
Karate Class |
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2 pm to 2:45 pm |
Game Time |
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2:45 pm to 3 pm |
Snack Break |
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3 pm to 3:30 pm |
Cool Down Time |
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3:30 pm to 5 pm |
Extended Time |
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American Karate Studios, Inc. 2583 West Chester Pike * Broomall, PA 19008 Phone & Fax: 610-353-4767 email questions to: nancy@akskarate.com Link to our Facebook page “Shay’s Kenpo” for more fun and photos! |
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Circle am or pm If half day |
Price per session |
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# of Sessions |
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Sub-Total |
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Half Day Session |
AM |
PM |
$75 |
X |
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Full Day Session |
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$150 |
X |
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