2022 Seiyu Summer Camp Registration Form (Youth 14 to 18)

Did you receive Shihan Tats’ approval to participate? *
Please ask him by email at vkk@shaw.ca before filling out this form!

Event Details

When: August 19 to 21 2022

Where: Loon Lake Lodge & Retreat Center, 14500 Silver Valley Road, Maple Ridge, British Columbia, V4R 2R3.

Who can attend: Seiyu members, all belt ranks, and 14 & over (A child who is accompanied by a black belt parent can participate even if they are under 14.)

Instructors: Seiyu Karate Instructor Team

Activities: A minimum of six (6) training sessions (which include indoor seminars, water training, and outdoor training)

More Information: www.fightingart.ca

Registration Fees (Youth 14 to 18):

  • On or before June 30th: $240
  • After June 30th: $260

Registration Information

2022 Summer Camp T-Shirt Size *
How to get to the camp *
Can you give other participants a ride to the camp? (Please take their luggage into consideration! You will also be responsible for their ride back from the camp.) *
Do you consider your child a light sleeper or a heavy sleeper?
- Light sleeper: Snoring bothers you a lot

- Heavy sleeper: You can handle snoring to a certain extent *

SEIYU KARATE GENERAL WAIVER AND FORM AND PHOTO & VIDEO RELEASE

Youths Ages 14 to 18
 
Nature of Activity: This permission slip will cover the Seiyu Karate Summer Camp Event of 2022
 
Date of Activity: August 19 - 21, 2022
 
Means of Transportation: Transportation is the responsibility of the student attending. There will be a number of Seiyu Members attending who may be able to assist with travel to and from this event.
 
Methods of Supervision: Students who are 18 years of age and under will be supervised by Seiyu Adult members.
 
Location of Activity: Loon Lake Lodge & Retreat Center, 14500 Silver Valley Road, Maple Ridge, British Columbia, V4R 2R3.
I have read and understood the camp rules and expectations listed on the website. https://www.fightingart.ca/registration-summercamp
 
I hereby give my permission for my child to take part in the activity as outlined above, and hereby agree as well and sufficiently indemnify and save harmless Vancouver Seiyu Karate and keep Vancouver Seiyu Karate indemnified and harmless of any and all demands, actions, proceedings, liability claims, damages, together with the costs and expenses thereof, that may hereafter at any time be made or brought by or on behalf of my child for any injury, loss, damage, expense and costs sustained or alleged to have been sustained by my child howsoever arising from the aforesaid activity provided.
 
I hereby authorize Vancouver Seiyu Karate to use the image of my child taken during the event in its public relations and communication materials to promote Vancouver Seiyu Karate.
SIGNATURE OF PARENTS/GUARDIAN *
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Youth Summer Camp Registration Fees *