EWK Samurai Classic

EWK Camp Strike

$84.75

How many Campers? *

Please select number of children who will be taken part in EWK Camp Strike.

First Name & Last Names

DOB (Format: M/D/Y)

Phone Number *

Email Address: *

WAIVER: *

WAIVER/CONSENT: I understand that in the event of an emergency, my child may require prompt medical attention. I give permission for my child to be taken to the nearest medical facility, if the School cannot immediately reach me or another emergency contact. I give consent for the attending medical practitioner to treat, medicate, hospitalize, or order anesthetic or surgery for my child. I understand that I am responsible for any medical expenses incurred for such treatment. The School will take all reasonable precautions to ensure the health and welfare of my child while participating in the Camp programme(s). I agree to release East West Karate, Christina Magliocco and its instructors, directors and employees from all actions, complaints or proceedings arising out of my child’s participation in the camp programme. East West Karate has my permission to use any pictures or videos taken of my child, to promote the camp program. I hereby give my child permission to accompany the camp instructors of East West Karate on various trips for the camp programme(s). I have read and agree to the above conditions.