Register – 18th iTKD Kids Camp 2022

*=required fields

All Accommodation is in the Dorm

Dorm Room (cost $45 per person)

First Name *

Last Name *

Rank

Age *

Male/Female *

ITKD number *

Total number of KIDS from one family
attending Camp:

Additional family member details

First Name *

Last Name *

Age *

Rank

Male/Female *

ITKD number *

Region *

Club *

Instructor

PARENTS: Please tick the attending box ONLY if you are attending the camp. There is a $45 fee this year to cover accommodation and food for parents attending. This helps us to keep your kids fees as low as possible.

Parent/Guardians Name(s)

Contact Phone *

Attending Yourself? Yes, I am attending
No way, are you crazy

Email *

Recent Injuries

Please provide details of recent injuries - just leave blank if none

Recent Illnesses

Please provide details of recent illnesses - just leave blank if none

Bedwetting

Y/N

Sleep Walking

Is bottom bunk required?

Swimming Is your child a competent swimmer? Yes No.
If no, they will be able to do the bush walk and paddle only (weather permitting).

Sparring Gear Does your child have sparring gear? Yes No.
If so, please bring to camp (gloves, kicks, mouthguard, groin guard for boys)

Other Medical

Please provide details of any other pertinent Medical info needs that camp organisers need to be aware of

Medications to be given at camp

Include medicine name, dose and frequency

Dietary

If they have any allergies please indicate below

Please note:

If there are any changes report to the above information from registration to the commencement of camp, please report these to the Camp Medic on arrival.
For the safety of everyone we have a very low tolerance for emergent illnesses at camp. In the event of your child having symptoms such as fever, vomiting or diarrhoea, we will require them to be picked up as soon as possible.

Camp T-Shirt $40 each Yes, I want one
No

Number of T-shirts required

Specify T-Shirt Size(s) Options: Child size: 8,10,11,12,14 Adult size: S, M, L, XL, 2XL

Any other Notes

Disclaimer
By submitting this form
I agree not to hold International Taekwon-Do or the organisers responsible for any injury I may sustain during the event.

I agree to notify the organisers at least 48 hours in advance if I am, for any reason, unable to attend, so that someone can take my place. If I do not cancel I understand I am obligated to still pay the event fee.

I agree to pay the event fee as specified: $

Internet banking details: Camp Bank account: DRAGON'S SPIRIT PAPATOETOE TAEKWON-DO / BNZ / 02-0214-0147286-002
please put your Surname and first initial as reference, please put in notes on registration form how you have paid.

Have Paid

Press the Save button to Complete registration

Camp Registration form