• (907) 456-2358
  • orionsbelt@gci.net

Registration

  • Martial Arts Camp Registration & Waiver

    Summer Sports Camps 2019 - Monday-Friday 8:00am-4:00pm

  • # Dates Camps Wkly/DayRate Ages
    1 May 20- 24 Survivor $200/$50 7-13
    2 June 10 - 14 Electronics Camp $225/$55 9-14
    3 June 24 - 28 Pinewood Derby Camp $225/$55 7-13
    4 July 29-Aug 2 Rocket Camp $225/$55 6-13
  • Space is limited to 30 participants per camp, after 30 registrants, your child will be put on a waiting list in the event of an opening.
  • A $50 down payment is due PER CAMP when registering. Payment in full is due the Friday before camp starts. Down payments to hold camps are non-refundable.
    Please Read Food, Snacks, & Drinks Provided by Parents - Camp Fees and Deposits are Non-Refundable (Deposits are applied to Camp Fees)
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Student's Full NameMale/FemaleBirthdate: 
  • PLEASE READ & SIGN LIABILITY AND RELEASE FORM ON BACK Liability and Release Form Please read carefully and sign as indicated In consideration of allowing the previously-declared participant(s) to begin participation in Orion's Belt School of Self Defense activities, while on the premises and property of said Center, the undersigned, for themselves, and/or being the legal and acting guardian of participant, acting for themselves and on behalf of the participant, release and hold harmless Orion's Belt School of Self Defense, LLC and its owners, officers, employees, and agents of and from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises upon which Orion's Belt School of Self Defense is conducted, or any premises under the control and supervision of Orion's Belt School of Self Defense, LLC its owners, officers, employees, or agents or in route to or from any of said premises, or while at any premises or place when activities sponsored by or participated in by Orion's Belt School of Self Defense, LLC., its owners, officers, agents, or employees. Assumption of Risk Participation in physical activities can involve motion, rotation, and height in a unique environment and as such carries with it a certain assumption of risk. The undersigned and the participant(s) choose to voluntarily enter upon said premises under the control of said corporation, knowing that said condition may become more hazardous and dangerous during the time the participant or the undersigned is upon said premises. The undersigned and the participant(s) voluntarily assume any and all risks of loss, damage, or injury that may be sustained by the participant(s) and/or the undersigned or any property owner by them while on or upon said premises described above. The corporation may but shall not be obliged to carry insurance on the participant(s), and the existence of insurance shall not change, alter, or increase the liability of the corporation to the participant and the undersigned or affect the terms of this Release. In signing this Release, the undersigned acknowledges: (a) That he/she has read thoroughly and understands completely, the terms of Registration and Release and signs it voluntarily. (b) That the undersigned signing either for themselves, or as Legal Guardian is, in fact, the true and legal guardian and has the consent of the participant. Medical Release The undersigned gives permission for Orion's Belt School of Self Defense, LLC owners, officers, employees, and/or agents to seek emergency medical treatment for the participant(s) in the event they are unable to reach any parent or guardian. The undersigned also agrees that they themselves will be responsible for any financial debt incurred by said action. Marketing Release Occasionally Orion's Belt School of Self Defense uses photos or video of its students in print ads, on its website, or in other marketing mediums. I understand that my child's likeness may be used in such advertising. These images will be used for Orion's Belt School of Self Defense, LLC purposed only, and will not be given or sold to outside companies or individuals. Transportation Release I give permission for my child to be transported either by Orion's Belt School of Self Defense, LLC transportation or by other commercial or public transportation for field trips or activities. By signing below, I am acknowledging that I have read and understand and agree with the above information. Conduct of child I understand that I am signing my child(ren) up for Martial Arts Sports Camps and that this is not a daycare. I also understand that my child(ren) may be asked to leave Sports Camp if the Owner or Instructor feels that my child(ren) does not participate in the Sports Camp or is disruptive. If my child(ren) is removed from Sports Camp for the day or permanently, I will not be refunded for any fees that I have paid. Payment Information I understand that any fees paid for Camp Fees and Deposits are Non-Refundable.
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