BirthdayWaiver | Jeon's Judo Taekwondo

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4961 Lower Roswell Rd Suite 105

Marietta, GA 30068

jeonsjt@gmail.com

(678) 982-5951

Team JJT's Camp Sign Up

Name of Child(ren) and Age(s)

Known allergies, if any

Parent / Legal Guardian's Name

Phone

Emergency Contact & Number

Choose Days: * Required

Monday (Full Day 9am-3pm)

Monday (Half Day AM 9-12)

Monday (Half Day PM 12-3)

Tuesday (Full)

Tuesday (Half AM)

Tuesday (Half PM)

Wednesday (Full)

Wednesday (Half AM)

Wednesday (Half PM)

Thursday (Full)

Thursday (Half AM)

Thursday (Half PM)

Friday (Full)

Friday (Half AM)

Friday (Half PM)

Entire Week (All Full Days)

Entire Week (All Half AM Days)

Entire Week (All Half PM Days)

I understand that during the event, pictures/videos are taken that are often used in JJT’s social media , website, printed publications, etc.

I understand injuries can occur and hereby release JJT, representatives and agents from liability for any injuries or damages occurring while at JJT facility or otherwise.

I represent that I am the parent or legal guardian of the child(ren) named above, or I have obtained permission from the parent/legal guardian to execute this agreement on their behalf.

Your Signature

Thanks for signing up for Camp! Please stop by the office to complete payment.

Jeon's Judo Taekwondo

jeonsjt@gmail.com

(678) 982-5951

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