2023-2024 After-School Program Registration

Champion Sport Karate
1712 Charleston Drive, Papillion, NE

The After-School program is as a 5 day per week or 3 day per week program. We pick up all PLV Schools, St. Columbkille, St. Bernadette, St. Mathews and limited schools in Bellevue. First pick up day will be the first full day for Papillion LaVista. On non school days the students are encouraged to attend classes utilizing the evening schedule. No additional fees are charges for attending evening classes when the after school program is not in session.
Non school day camps will be available through out the year at $45 per day .
5 days per week $380 per month for 1st child, Discounts are available for multiple family members. $325 second family member, $295 third family member. A 3 days per week program is available at $295 per month per child. Martial Arts and Fitness everyday!
Billings will be at the first of each month with August being a pro-rated billing for August 13 to September 1 which will be 1/2 of the membership fees.

Your Information

E-mail

First name

Last name

Phone

Additional Questions

Number of Children Registering (optional)

Names of Children and Birthdate

Name of School your child attends

Name of Parents and phone numbers

In case of Emergency please list the name and phone number and relationship to the child

Please list any allergies, medical issues, medication or any activities in which your child should not engage in. (optional)

Authorized person to pick up your child inlcuding parents/guardians and relationship to child. (optional)

I understand that my monthly billing will continue regardless for days out of school. Students are encouraged to attend evening classes when the after school program is not in session. My billing rates are calculated based on the continuance of the program without starting and stopping the program through out the year. If I choose to stop the program I must give a 30 day notice.

I understand that if I freeze or cancel my membership before the end of the school year I will be responsible for a $75 cancellation fee and I will be required to re-enroll when returning.

I understand that this is registartion fee only and I will be charged a monthly fee based on the program that I select.

I understand that I must contact Champion Sport Karate when my child will not be attending the program. This call must be before 2:30 pm.

I understand that I will be required to sign an Authorization for Emergency Medical Care and an Transportation Release form prior to my child attending.

Martial Arts Uniforms

(Max of 10)

Champion Sport Karate T-Shirts

(Max of 10)

I am interested in adding evening classes to my After School program. (optional)

Please provide billing information via credit card/expiration/CVV or ACH-Bank name/routing number/account number (optional)

Discount or Gift Card Code

Order Total: $0.00

2023-2024 After-School Program Registration

Your Information

Additional Questions

Discount or Gift Card Code

Payment Information