Name___________________________________Age____

Rank_____________________Dojo__________________

Address__________________________________

City_____________________State__________Zip______

Phone # (______) _________   ___________

email address_________________________

T-shirt Size ______________

Available sizes

Adult ------------S--M--L--XL–XXL–XXXL

Child-------------S (8-10)--M (10-12)--L (12-14)

Extra camp shirts are available for $20.00 (Special Camp Design)

For questions regarding registration, please call Laura  at 816-690-8445

 Fees:

$250.00 includes meals , lodging , camp shirt

Family rates: 1st member full price, additional family members $125.00

If you pay through Paypal you will be automatically registered and we will send a confirmation via email.

Registration forms must be returned to Headquarters no later than May 15 2013.

Fees after May 15 will be 300.00 US.