Central Florida Budokai Karate Do. All About Arts. All about Dance By Jenny

After School Programs

Dance

Karate

Disclaimer: Our after-school dance programs cover hip-hop and jazz at the base rate. Should you wish to explore additional classes, they are available as weekly add-ons and come with an extra fee, being categorized as our premium programs

Before School Programs

Transportation

Disclaimer: Participation in our before-school program incurs an additional fee. For students already enrolled in our after-school program, the cost is $35 weekly. For those not enrolled in the after-school program, the fee is $45 weekly

1) Student Name

1) Date

2) Student Name

2) Date

3) Student Name

3) Date

Address

State

City

Postal code

Phone *

Work Phone Number

Emergency Phone Number

Age

Birthday

Sex

Grade

School Name

Teacher Name

Email *

Waiver/Release

First Name

Understand that karate, jujitsu, kickboxing, power-kickboxing, and all martial arts ,soccer, basketball flag football, volleyball are sports that involve physical contact. You, Buyer and/or Student are aware that the student(s) is engaging in physical exercise and self-defense instruction. It is always advisable to contact you physician before entering any program of physical fitness. The student is voluntarily participating in these activities. The buyer and student hereby waive and release any claim or right to sue SKC Orlando SKC LLC DBA/Orlando SKC LLC, The Sport Karate MMA Center and, it's students, employees, instructor, volunteers, and management from and all injuries that may occur on or off this premises, through negligence or not, while participating or competing in karate, any other martial art or fitness program.

Parent Signature(if under18)

Clear

Today's Date

Please list every person authorized to pick up your child - if they are not in the list they cannot pick up your child.

Photo ID #1

Photo ID #2

Photo ID #3

Photo ID #4

Child's Name

Child's Name - Age

Name of Parents or Legal Guardians

Emergency Phone Numbers:

Mother - Phone Number

Mother - Work Phone Number

Mother - Cell Phone Number

Father - Home Phone Number

Father - Work Phone Number

Father - Cell Phone Number

Special Emergency Number

Name of Family Doctor (if you have one)

Doctor's Name

Medical Insurance for Child

Parent's signature

Clear

DL#

Work phone number of primary pick-up parent

(Elementary/Middle School)

Ensure you mark your selection clearly

I hereby give my consent to SKC Orlando LLC, Orlando SKC LLC DBA/The Sport Karate MMA Center-its instructors, employees, or any emergency medical personnel to administer necessary treatment to my child(named Above) in the event of an emergency and to transport him/her by ambulance if the situation warrants.

I hereby give my consent to SKC Orlando LLC, , Orlando SKC LLC DBA/The Sport Karate MMA Center or its authorized agents to transport my child (named above) to and from SKC and other SKC authorized activities.

Ensure you mark your selection clearly

(child's name) and (parent's name printed) hereby acknowledge that we have discussed this policy between us, understand it and agree to abide by all of its terms and conditions.

Ensure you mark your selection clearly

Central Florida Budokai Karate Do After School Karate Pick-up Authorization I, (Parent's Name) give (Parent's Name) (Elementary/Middle School) permission to let my child, (Child Name, leave school by (Child's Name) way of the The Sport Karate Center pick up van. They are currently enrolled in the SKC after- School Karate Program.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.