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YTA Championship on June6, 2009

    
at YTA(Dale City)

    
5513 Mapledale Plaza

    
Dale City, VA22193

    
9:30-2:00PM

    
Divisions:

    
color belts

    
Black Belts

    
Instructors & Masters

    
________________________________________________________

    
Sign up 2009 YTA Summer Camp

    


                                                       Since2002 Boys and girls ages 5-13 group 

    



    




    




    




    




    




    

 

        

            

                






                

Dear Parents:




                

What better way to provide safe, fun, productive activities for your children than to send them to summer camp? You don't want to just occupy their time though, you want them to keep their minds active as well. 




                

At a YTA summer camp, your child/children will do more than play games and tire themselves out. They will learn skills and participate in activities that will promote the mind. Don't worry, they won't feel like they are in school because they will be having too much fun!



                

Our focus is to blend traditional summer camp activities with an appreciation for martial Arts and sports. For many years, parents have found that children's summer camp is an amazing opportunity that helps children mature.

                


At summer camp, we focus on two daily martial arts sessions, educational game time, field trips, and outdoor activities (trip to the local library, the swimming pool, the park, playing soccer, a nature hike and more...). Martial arts teaches and develops self-esteem, self-confidence, self-discipline, integrity and self-defense. The children may have fun, and also keep up with activities such as reading and creative writing to promote active minds. These activities are presented in a fashion unlike school so that the children do not feel as if they are working on their vacation time. So sign your children up today!

                


We are committed to ensuring the health and well being of every camper. In order to safely and effectively accomplish this, and to assure that we meet the requirments of the State of Virginia, we need you to provide us with your child's current medical information and the appropriate documentation (Certification of Immunization) that will allow us to access emergency care for him/her if needed.

                

5513 Maple Dale Plaza
 Dale City, VA22193 T:703-583-2000

                

1611 Commonwealth Ave. Alexandria VA22301 T:703-519-5797



        

            
                
 * You will be need bring a box lunch




            

                

 




        

            

                

* The schedule could be changed due to weather or any other circumstance.

                

Camp Hours: 9:00am -3:00 pm


                

 

                

If you want to bring your child early or pick up late then let us know.



        
    




    




    
 

    


Summer Camp Application

    Please type or print clearlyCheck :1st week(6/22-6/26), 2nd week(6/29-7/03), 3rd week(7/06-7/10),  4th week(7/13-7/17), 5th week(7/20-7/24), 6th week(7/27-7/31),

    
 7th week(8/03-8/07)-4-7years old only  8th week(8/10-8/14)

    
Child's name:______________________________________________________________________________Child's date of Birth __________/__________/__________ Male:___________ Female:___________
Father's Name: _______________________________________         Phone: ___________________________Mother's Name: ______________________________________ Cell Phone: ____________________
Home Address:_____________________________________________        Camper's age: _____ Years _____ Months Grade: _______School Currently attending:____________________________________
How did you learn about our Martial Arts Camp? __________________________________________________________Has applicant attended our Camp before?___________ If so, for how many years?______

    Is your child currently taking any medications? _____________________Does your child have any emotional or physical problems which the staff should be aware of?________________
Is your child allergic to anything (e.g. medications, foods, insect bites, pollen, etc.)_________________________________________________________________________________________________

I acknowledge that in the event of injury every effort will be made to contact me. But if conditions require and attempted contacts are unsuccessful, I understand that it may be necessary to provide acute medical care, surgical procedures, and an anesthesia without my specific consent.
I understand that the above named camper's photo may be taken during the course of our YTA Camp activities and I hereby give consent to utilize such photos in our YTA publications.

Signature:_____________________________________                               (Parent or Guardian):Date: ____ / ____  /____

    The following information is required:
Pediatrician's  Name:______________________________________ Phone: ________________________________
Person to contact in case of emergency if we can't reach you:_________________________________________________Relationship_____________________________________________ Phone:_____________________________________

    YANG'S TAE KWON DO ACADEMY

    1611 COMMONWEALTH AVE. ALEXANDRIA, VA 22301 T. 703-519-5797

    

    

    

    

    

    

    
 

    
 

    
 

    
 

    
 

    
 

    
 

    
 

    
 








 Master Yang's E-Mail:yangstkd@msn.com    

    

    

    

    


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