2021 Summer Camp Application and Payments Mati Clubs at Nomad 2021 Camp Application and Payment Student's First Name* Student's Last Name Parent's/Legal Guardian First Name* Parent's/Legal Guardian Last Name Student's Age Student's Date of Birth Student's Shirt Size Address City State Zip Code Cell Phone/ Best Reach Number During Camp Email Waiver* In consideration for my attendance and participation in this academy’s martial arts training, I, the student/ parent/ legal guardian, acknowledge the existence of certain inherent risks in this type of training and hereby agree to assume all risks. I further relieve NOMAD Aquatics and Fitness, MATI Clubs, MATI, Paulo Mushu, CheckMat its management, assigned staff, and fellow students, from any liability resulting in personal injury or loss of personal belongings. I also hereby state that the students named above are physically fit to take the prescribed course of instruction and do so of their own free will for an agreed upon fee. I understand there is a NO REFUND POLICY on any monies I will pay to this academy or representative of said academy. A parent or legal guardian signature is required if the student is under the age of 18. I Understand* Students may attend any/ all camps (see restrictions on week 4 and 9). Students WILL test in full week (1/2 or full day) camps up to three times during summer 2021 (must attend one camp per month to qualify for testing three times). If students attend more than three full week (1/2 or full day) camps, they will not test that/ those weeks THEREFORE deduct $50 from the cost of that camp week. SPACE WILL BE LIMITED TO 20 STUDENTS FOR ALL CAMPS. REGISTRATION IS ON WEBSITE www.maticlubs.com or feel free to submit the printed, completed application in person. We accept cash, check (made out to MATI CLUBS), or card. I Agree* THERE IS A $50 NON-REFUNDABLE DEPOSIT FOR EACH CAMP AT TIME OF REGISTRATION. BALANCE IS DUE BY MAY 1, 2021 HOWEVER, WE WOULD PREFER PAYMENT IN FULL AT TIME OF REGISTRATION. PLEASE LIST ANY FOOD ALLERGIES/ MEDICAL CONCERNS: Camps WEEK 1: (JUNE 7-11, 9am-12:30pm, ½ day, $170) WEEK 2: (JUNE 14-18, 9am-5pm, full day, $285) WEEK 3: (JUNE 21-25, 9am-5pm, full day, $285) WEEK 4: (JUNE 28-JULY 2, 9am-5pm, full day, JR. BLACK BELT STUDENTS ONLY $275) WEEK 5: (JULY 5-9, 9am-12:30pm, ½ day, $170) WEEK 6: (JULY 12-16, 9am-5pm, full day, $285) WEEK 7: (JULY 19-23, 9am-5pm, full day, $285) WEEK 8: (JULY 26-30, 9am-12:30pm, ½ day, $170) WEEK 8: BJJ CAMP (JULY 26-30, 1pm-4pm, ½ day, $150 WEEK 9: (AUG 2-6, 9am-5pm, full day, JR. BLACK BELT STUDENTS ONLY $275) WEEK 10: (AUG 9-13, 9am-5pm, full day, $285) WEEK 11: (AUG 16-20, 9am-12:30pm, ½ day, $170) How Much are You Paying? Total $0.00 Credit Card Cardholder Name Card Details Agree* By clicking submit you are agreeing to the Terms and Conditions of our form.