Black Belt Camp Registration - Choong Sil Federation Inc

Men’s Black Belt Summer Camp – May 28 through June 1

Late registration will apply after May 6. If you only pay a deposit, the balance is due by May 6th or the late fee will apply.

Women’s Black Belt Summer Camp – June 25 through June 29

Late registration will apply after June 3. If you only pay a deposit, the balance is due by June 3rd or the late fee will apply.

Fall Black Belt Summer Camp – May 28 through June 1

Late registration will apply after September 12. If you only pay a deposit, the balance is due by September 12th or the late fee will apply

CTF Black Belt Camp Registration

Register for CTF Black Belt Camp!

CTF Black Belt Camps(Required)

Please select which Black Belt Camp payment option you wish

Today's Date(Required)

Student Number

Camper's Name(Required)

First Last

Age(Required)

Please enter a number from 1 to 100.

Release of Liability and Assumption of Risk Agreement(Required)

I have read and certify my acknowledgment of the below waiver by checking this box.

I understand and certify by signing below that martial arts camps can be an extremely rigorous physical activity, and while the camp directors do as much as possible to provide safe training facilities, no such camp can guarantee the absolute safety of participants. I hereby agree not to hold the CTF, any instructor nor fellow camper responsible for my well being or any injuries that may occur during camp. While waiving responsibilities, I also warrant that I have personal medical insurance to cover me while participating in camp activities.

Please describe any special Health Consideration that could affect you during participation in Black Belt Camp

WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19 ASSUMPTION OF RISK

In consideration of being allowed to participate on behalf of (insert name of sports organization) athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4. I certify that I DO NOT meet any of the following characteristics:

a) Have had a fever of 100.4°F or greater in the last 2 days;

b) Have a cough, difficulty breathing, sore throat, or loss of taste or smell;

c) Had contact with a person known to be infected with COVID-19 in the previous 14 days.

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Choong Sil Taekwondo Federation, Inc., their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Parent's Signature(Required)

First Middle Last

By typing your name above you are indicating your agreement to the above requirements. You hereby acknowledge typing your name above acts as a legal valid signature.

Gender(Required)

Date of Birth(Required)

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Home Phone

Work Phone

What Taekwondo School do you attend?(Required)

What is your current rank in Taekwondo or other martial art?(Required)

Do you have ANY special HEALTH considerations we need to consider in planning camp activities?(Required)

If yes, please describe(Required)

Do you have any special DIETARY considerations we need to consider in planning camp activities?(Required)

If yes, please describe(Required)

Please describe any special topics you would especially like to cover at camp

Would you like to test at camp?

If so, please be sure to submit your Board Breaks and payment on the CTF website.

Credit Card(Required)