Hyper Martial Arts
Summer Camp 2014

KMA Hyper Martial Arts Camp is Back!

Click the HYPER LOGO for a Video Sampler!

Camp will be held at our Westerville KMA Headquarters for an awesome 1-Week session spanning from June 2nd to June 6th

Campers will learn NEW martial arts material designed by World Champions and Hyper Martial Arts Pros!

We will focus on Hyper Kicks, Jump Kick Gymnastics, Tumbling, Acrobatics and Hyper Weapons!

 Registrations may be made for 1 week of camp or for single days!
Camp Prices:
Registration is limited to 20 students/week.

Campers may bring their own lunch, or $5 Cash as they will have an opportunity to purchase lunches from the Food for Thought Cafe!

June 2 - 6, 2014
5953 S. Sunbury Rd
Westerville, OH 43081
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Registrant Fee: $0.00

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Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*KOGURYOMARTIALARTS 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
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5953 Sunbury Rd
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  •  Hyper Camp will consist of an AWESOME one-week long session
  • Registrants may select any or all days for participation in Camp
  • Campers may be dropped off no earlier than 8:00AM each day.
  • Camp is run from 8am - 4pm daily. After Care is available until 6:00PM for $15.00/child/hour.
Campers attending for at least one FULL WEEK will receive a Hyper Martial Arts T-Shirt!
Parental/Guardian Consent

Recognizing that the Koguryo Martial Arts Academy will do its best to ensure a safe experience, I understand that certain dangers or accidents may occur. I hereby release the Koguryo Martial Arts Academy from any and all responsibility and liability of any nature, including claims of injury, illness, death, loss or damage, resulting from my child's participation in any program activities. I hereby also agree to the following terms and conditions:

MEMBER FITNESS. By signing this agreement, Member represents, warrants and insures that he has been reasonably informed of the programs offered by the Business and that he is physically and mentally able to take part in programs offered by the Business and/or any others in which Member may participate. Membership is non-transferable.

LIABILITY WAIVER AND RELEASE. The Member understands and agrees that strict observation of the Businessí rules and regulations and the rules and regulations relative to martial arts training, including the use of protective equipment, is required. The Member understands and agrees that the use of the Businessí facilities and the Member's presence at the Businessí facility are at the sole risk of the Member. The Member understands and agrees that martial arts involves skills and training which include violent and sudden movements and that in connection with the training and instruction, there will be physical contact between instructors and Members and between and among the Members and that such contact may result in personal injury to the Member, despite precautions taken to avoid such injuries. Member hereby consents to engage in such contact as may be necessary or required by Memberís participation in the training program and/or classes. Member, on behalf of him/herself and anyone claiming by or
through the Member, hereby holds harmless, releases and forever discharges MSI, its officers, directors, employees, agents and representatives and the Business and its instructors, agents, employees, operators and authorized representatives from any liability, claim, loss, including loss of property, damage, personal injury, or expense incurred by the Member and arising from the Memberís execution of this agreement, payment processing, participation in any program offered by the Business, including, but not limited to, any injury or damage caused by the negligence or willful misconduct of MSI, the Business, its instructors, Members, agents, employees, operators, or authorized representatives. The Member specifically understands and agrees that he /she is assuming the risk of any and all injuries that he/she may suffer or incur as a result of his /her execution of this agreement and participation in any program offered by the Business.

CLASSES. Scheduling and content of classes and programs, furnishing of facilities and provision of instructors to teach and supervise classes and practice sessions are at the sole and absolute discretion of the Business and may be changed at any time by Business.

COMPLIANCE WITH LAWS. This agreement shall be governed by the laws of the State in which Business is located. All rights and obligations of the Business and Member under this agreement are subject to all applicable federal, State and local laws and regulations. To the extent that the terms and conditions of this agreement conflict with any applicable statute, rule or regulation in effect at the time of execution of this agreement governing transactions of the type contained herein, the agreement shall be deemed revised to conform with such statutes, rules and regulations. The Business and Member shall be bound by the modified agreement and agree that no other modifications shall be enforceable unless in writing and signed by the parties. This agreement constitutes the entire agreement between the parties and supersedes all prior agreements between the parties, whether written or oral. The invalidity or unenforceability of any provision hereof shall not affect the validity or enforceability of any other provision. The waiver of any breach shall not constitute a waiver of any subsequent breach of this agreement.

ACCEPTANCE OF MEMBER. By signing this agreement, Member agrees to fully and completely comply with all terms and conditions hereof and the Businessí rules and regulations. Failure to comply with the Businessí rules and regulations is grounds for immediate suspension or termination of the Member. Suspension or termination shall not entitle the Member to a refund or credit for any tuition already paid or cancel any unpaid balance due. The failure or inability of Member to use the facilities, classes or services of the Business for any reason, except as otherwise
provided herein does not relieve or suspend the Member's obligation to make all payments required under this agreement on a timely basis, nor entitle the Member to a refund or credit. The Business and those acting under its
authority reserve the right to use photographs, videotapes, artwork or other likenesses of the Member for marketing, trade, publishing or any other lawful purpose.

MEDICAL CONSENT As the parent, legal guardian, or authorized representative, I hereby give consent to the Koguryo Martial Arts Academy Sun Dragon summer camp to provide all emergency dental or medical care prescribed by a duly licensed physician (MD or DO) or dentist (DDS) for the Member. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of the child.

Participation Agreement
Please go over these items with your child:
1. Participant agrees to abide by rules and regulations set by the program for the health, safety and welfare of the participants.
2. Willful destruction of property will be the responsibility of the participant's parent/guardian.
3. Participants must remain within established boundaries wherever the camp programs occur on and off Koguryo Martial Arts Academy property.
4. Participants are not allowed to be in possession of any tobacco, alcohol, illegal drugs, firecrackers, firearms, or knives.
5. Koguryo Martial Arts Academy is not responsible for lost, damaged or stolen personal belongings.
6. Continued inappropriate behavior, such as threatening, swearing, not following directions, teasing, sexual harassment/intimidation, fights, or improper behavior in vehicles, may result in immediate dismissal from the program with no refund.
7. Any participant who poses a threat to themselves or to others will be dismissed from the program with no refund.
The Program Director reserves the right to determine what constitutes a violation of these rules and will enforce them as necessary. We reserve the right to dismiss any participant from the program at the parent/guardian's expense and liability for violating any of the above.

By Checking the Box Above, I Agree That:
✓ I have read and understand the parent/guardian consent.
✓ The named minor has my permission to participate in Koguryo Martial Arts Academy programs and field trips.
✓ I give my permission for any pictures taken of my child participating in Koguryo Martial Arts Academy events to be used for publicity purposes.

Check this box to indicate that you have read and agree to all of the above terms & conditions