2010 WHA Ultimate Summer Camp -
Altamonte Springs, Fl

-Approximately 30 miles from Disney World and 15 miles

from Universal Studios

The 2010 WHA summer camp will be held in Altamonte Springs, Florida Aug. 6th, 7th & 8^th.

The camp will be held at the fully equipped 7000 square foot American Karate Academy:

1005 SUNSHINE LN. ALTAMONTE SPRINGS, FL 32714

Participant Information

* Name

* Date of Birth

* Street Address

* City

* State

* Zip Code

* Phone Number

* School

* Rank

* Email

Training fees include: Instruction and a certificate of completion.
Open to all ability levels, ages 16 and above.
We recommend white Martial Arts attire, with athletic shoes for this event.
Make checks or money orders payable to D. Piller. (Fees are non-refundable)
Mail payment and registration to: D. Piller PO Box 630, Indian Hills, CO 80454
The camp will be held 7000 square foot American Karate Academy in Altamonte Springs, FL

I hereby voluntarily submit my application for attendance and participation in said WHA Summer Training Camp 2010 and hereby assume all responsibilities for any and all damages, injuries or losses I may sustain or incur while attending, participating and traveling to and from said activity. I hereby release and waive all claims against American Karate Academy, its staff and representatives, the sponsors, promoters, organizers, operators hosts, instructors, associations, school, owners, officers, directors, employees and other participants connected with said WHA Summer Training Camp 2010 individually or otherwise. I also understand further that I shall strictly obey instructors and observe safety rules. I further agree that any pictures and video taping of me in connection with said activity can be used for publication, promotion, articles, shows, and advertisement without additional consent and without compensation at this time or any other time. I understand that registration fees are non-refundable.