Karate World Camp Registration Form

CAMP GROUP REGISTRATION FORM CLICK HERE

This Pre-Registration Form Rates will automatically change to next rate on 4/24/08

Complete - Personal Information.
First name -   Middle name -   Last name -
Complete - Street Address.
Address - City - State -       Zip -

Phone -( ) - - Email

Member Number - (Members Enter Your Number) (Non Members Enter Your Date of Birth example: 02041999)

Adult (+300.00). Child (+275.00).

Belt Rank - Beginner Intermediate Advanced Black Belt Age - 12 & Under 13 to 17 18-39 Adult 40-44 Senior 45-49 Senior 50-54 Senior 55-59 Senior 60-up Senior

Free Camp T-Shirt Size
Small (-0.00).
Medium (-0.00).
Large (-0.00).
X-Large (-0.00).
2X-Large (-0.00).

Additional Clothing
Sweat-Shirt size
Small ($30.00).
Medium ($30.00).
Large ($30.00).
X-Large ($30.00).
2X-Large ($30.00).

Hooded Sweat-Shirt size
Small ($35.00).
Medium ($35.00).
Large ($35.00).
X-Large ($35.00).
2X-Large ($35.00).


Camp Scrapbook(+57.50).

      Total item cost >