BUSHIKAN SUMMER CAMP #2
July 13 ~ 17, 2020

 
PARENT/GUARDIAN INFORMATION
* Indicates a required field
* Name :
 
     
* Last Name :
 
     
* Address :
 
     
* City :
 
     
* State :
 
     
* Zip Code :
 
     
* Cell Phone # :
 
     
Work Phone # :
 
     
* E-mail :
 
     
Emergency Contact :
 
     
Emergency Phone #:
 
     
     
SUMMER CAMP FEES
     
*Fees are not refundable
 
Discount for Siblings - Until June 1, 2020
1st Child $210 * 2nd Child $189 * 3rd Child $168
     
Discount for Siblings - After June 1, 2020
1st Child $235 * 2nd Child $214 * 3rd Child $193
     
             
1st CHILD INFORMATION
             
* Full Name: * Age:
             
* School: * Camp Fees:
             
PM Care Hrs: PM Care Fees: * Total 1:
           
Illness/Injuries? :
           
2nd CHILD INFORMATION
             
* Full Name: * Age:
             
* School: * Camp Fees:
             
PM Care Hrs: PM Care Fees: * Total 2:
             
Illness/Injuries? :
             
3rd CHILD INFORMATION
             
* Full Name: * Age:
             
* School: * Camp Fees:
             
PM Care Hrs: PM Care Fees: * Total 3:
           
Illness/Injuries? :
           
             
Total Amount :
             
             

CLICK ON SEND TO MAKE A SECURE PAYMENT

 

 

   
   
   
   
   
   
   
   
   
     
e-mail: fs@bushikan.com
1945 S. Rancho Santa Fe Rd. #D
San Marcos, CA 92078 - USA
Phone:
(760) 744-5560
 
  Copyright © 2003~2019
Bushikan Budo Kyokai

Matayoshi Kobudo Kodokan Intl.

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