The following is a registration form for the Summer Knights program for the Summer of 2007. Included in this registration form is important information regarding the time frame of the course, the cost, instructions for registration and mandatory parent authorization forms, travel-release forms and medical forms.  Please keep the first page for you records.  

Summer Knights is consolidating its two sessions into one session for 2007! 

The New 2007 Summer Schedule is:

 

June 18th to June 29th

Sessions meet daily from 9am to 3pm, Monday through Friday

 Summer Knights is located in Miami, Florida at: 

 

The Miami Elks Lodge (#948)  at 10301 Sunset Drive

 Payment Information:

·         Knights can pay the $398 program costs all at once or may opt to stagger the payments so as to have two payments of $199.

·         If choosing to pay in two payments, the first is due at the time of registration and the remaining balance of $199 is paid on or before June 1st

·         If you decided to pay by check, make checks payable to "Summer Knights".  Please note all payments are non-refundable. 

  •  Summer Knights accepts Visa/MasterCard credit card payments. Simply add your credit card information in the space provided and indicate which payments you would like to add to your credit card.

·        All payments and registration information should be mailed to the SK business address: 

Summer Knights

5301 SW 153 Place South

Miami, Florida

33185 

 

Lunches are provided through The Elks Catering Service. Lunch service is $4.50 per day based upon a two-week commitment plus an additional $9 for The Feast on last day of each session; hence, the total cost for lunches are $45 for the session; calculating 8 days of lunch (lunches are not provided on the Archery Field Trip Day) and feast.  The purchase of the lunch service is required unless dietary restrictions (ie. vegetarian meals) require specific foods outside of the normal, cafeteria fare.  Lunch service checks can be made separate from initial payment and turned in on the first day of the program; cash or a check made payable to Summer Knights is acceptable.

 The course includes activities involving hands-on seminars of swordplay, medieval battle and archery. In addition, the course includes hands-on craftsmanship involving wood, metal and paints. Please understand that although great care is taken to ensure against an incident, expect a fair share of messy clothes, painted shirts, and sometimes minor cuts, splinters and the like; knights will be knights! 

If you have any more questions or comments regarding the course,

 please call Magnus, at 305-562-5004, or send email to admin@summerknights.com 

 

 

Name:­_________________________________  Age:______  Gender: M or F

Address:________________________________________________________

 

City/State:_______________________________ Zip Code:_______________

Contact Phone Numbers: (required):

(____)___________________(Home) (_____)_____________________(Other)

Email Address:___________________________________________________

Summer Knights is consolidating it's two sessions into one session for 2007! 

The New 2007 Summer Schedule is:

 

June 18th to June 29th

 Payment Options:  If paying by Check, Make payable to "Summer Knights"

Credit Card Info: Visa ___ MasterCard ___

Credit Card # __________________________________________Expiration _________(mm/yy)

Check all that apply:

  • Bill my card for the entire amount of $398 ______
  • Bill my card for two payments; one now and one June 1st  _______

Summer Knights Parent Authorization Form

 I, ___________________________(parent/guardian of)__________________(full name of student) do hereby declare my full understanding of his/her intention to participate in martial arts activities, including sword fighting, archery, armoring, the water war and other activities and held by Summer Knights, Inc. offered at The Elks Lodge #948 during the summer of the year 2007 on The Elks Lodge grounds. I declare that I have made myself fully aware of the danger to his/her person and property presented by such participation, and do hereby grant him/her permission to participate in said activities, and to hold harmless all other participants, Summer Knights, Inc., The Elks Lodge or Elks Organization, Rafael Ross, Brenda Ross, and the Summer Knights staff from liability for personal injury or property damage which may arise by reason of, or as a result from, his/her participation in said activities. In the event of an accident or injury to my son, I also assume full responsibility for the consequences of my son’s/daughter's actions during all activities.

 

 

Summer Knights Travel Consent Form

 I hereby give my consent for:___________________________________(full name of Knight) to participate in any activity involving the Summer Knights program offered at The Elks Lodge (#948) (including traveling) during June 2007 on The Elks Lodge (#948) grounds and the field trip to The Everglades Archery Club in Homestead.  I understand that although the program is sending representatives with the students, it would be impossible for the representatives to be able to supervise every individual activity and action of the student. There will be times in which the representatives cannot be personally accessible to the student. I understand that neither The Elks Lodge (#948), Rafael Ross, Brenda Ross, nor the staff is liable in the event of an accident or injury to my son or daughter.  I also assume full responsibility for the consequences of my son's or daughter's actions during all activities.

Signature   X_________________________________ Date:___________

 URGENT! We are in need of insured drivers to drive to and from the Everglades Archery Club.

Volunteer Driver:  YES, you can count on me!   NO

Summer Knights Medical Form

 Summer Knights applications will not be accepted without a completed and signed medical form. Please fill out the information carefully.

Name:____________________________

Birth date:___/___/___   Gender:   M  or   F

Are parents separated/divorced?   Yes____ No_____

Name of custodial parent or guardian: _____________________________________

Father’s Business/Day Phone: (__­­__)_______________________________________

Mother's Business/Day Phone: (   __)_______________________________________

Emergency Contact if parents are unavailable:

Name:___________________________ Number:______________________________

Medical Insurance Company:_____________­­­­________________________________

Policy Number:_________________________________________________________

Knight's Physician:______________________________________________________

Physician’s Phone:(___)__________________________________________________

 If, in the opinion of a properly licensed and practicing physician, my child needs medical or surgical services which require authorization or consent before being supplied, we (the parents/guardians) hereby authorize, appoint and empower Summer Knights, to act as agent to furnish oral or written authorization as may be required, and release The Elks Lodge and Organization, Summer Knights Inc., its directors or any of its staff from liability which may arise from giving of such authorization; it being (my/our) desire that my child be furnished with such medical services as soon as reasonably possible if the need arises.

 Signature   X_________________________________ Date:___________