CCIKA Summer Camp 2023

First Name *

Last Name *

Address

City

State

Zip

Gender *

Birth Date * +

Age *

Phone *

Email *

Days

CCIKA Summer Camp Dates *

June 12 - 16 (16 remaining)

July 10 - 14 (16 remaining)

July 31 - August 4 (16 remaining)

Summer Camp 2023 Fee *

$300 (Active members)

$350 (Active members after May 20)

$500 (New students + 1 month classes + uniform + membership)

Do you need Extended Care? (optional)

$75.00 (3pm - 6pm for the week)

Relationship to Participants: *

Parent/Guardian (under 18 yrs.)

Self (18 + yrs.)

Parent/Guardian Name *

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