New Member Registration

Trial Class or Enrollment.... (choose one)

Choose one *

Trial Class

Enrollment Class

Membership

Membership Type * 🛈

Basic ($25)

Gold ($75)

Platinum ($150)

Membership Classes *

Drop In ($40)

1 Day Wk ($140)

2 Days Wk ($160)

3+ Days Wk ($210)

Enter code 🛈

Choose Program

Programs: *

Select Day / Time

Choose Day: *

Choose Time: *

Choose 2nd Day :

Choose Time:

Student Information

Student First Name *

Student Last Name *

Address *

City *

State/Province *

Zip/Postal Code *

Email Address *

Birthdate * +

Age *

Martial Arts Experience *

None	Beginner	Intermediate
Advance

Phone *

Preferred way to contact *

Phone

Email

Any

Parent/Guardian Information

Parent First Name *

Parent Last Name *

Date *

Release of Liability *

The participant or legal guardian has read Camp Carter International policies and procedures set forth in consideration of applicant’s participation in classes with Camp Carter International. Participants and/or legal guardian agree to defend, indemnify and hold harmless Camp Carter International, its officers, agents and employees from and against any and all claims, demands, causes of action or liabilities incurred by Camp Carter International arising, in whole or in part, directly or indirectly, from participant’s acts or omissions in connection with participation in the classes described. Further, participant and legal guardian agree to release Camp Carter International from any and all claims for damages, including property damage, injury or death occurring or arising out of use of, or participation in, Camp Carter International classes. I, the undersigned parent/guardian acknowledge that the participant is enrolled in a recreational program, NOT licensed child care. I also understand that Camp Carter International may photograph or videotape the events or activities in which I am (or my child) for the purpose of promoting Camp Carter International and its programs. I give my permission with the understanding that no compensation of any kind will be paid to me (or my child) now or in the future for the use of my (or my child’s) likeness. I agree to give 30 day notice before I cancel this program or will pay the value of the next month or twenty-five dollars per month from the start of the year. I HAVE READ THE AGREEMENT AND FULLY UNDERSTAND THAT I ASSUME ALL RISKS FOR INJURY RECEIVED.

I understand this membership commitment for a minimum of 6 months - after that time I agree to give 30 days’ notice by 1st of month before I cancel this program. *

Please sign *

clear

Ninja	Youth	Teen	Adult
Family	Weapons	Taekwondo	Self-Defense

Monday	Tuesday	Wednesday	Thursday
Friday	Saturday

9am	10am	11am	-
3pm	4pm	5pm	6pm
7pm	7:30pm

Monday	Tuesday	Wednesday	Thursday
Friday	Saturday

9am	10am	11am	-
3pm	4pm	5pm	6pm
7pm	7:30pm