When October 20, 2023 - October 22, 2023 12:00 am Add To Calendar Download ICS Google Calendar iCalendar Office 365 Outlook Live Location TBA. 2023 Camps Attendee Details: Personal InformationAttendee Details* First Last Contact phone*Contact email* Gender*GenderMaleFemaleDate Of Birth (dd/mm/yyyy)* DD slash MM slash YYYY (dd/mm/yyyy)Current Age*If you are under 18, we will need the consent of your parent/guardian at the end of this form. Please make sure they are available to complete it. We may confirm with them by phone or email that they consent for you to attend the camp.Name* First Last Parent/Guardian Contact Number*Email* Flight bookings should be no earlier than 5:00pm on the last day of the camp. Attendee Details: Krav Maga School & GradePlease select your attendance type*Select your attendance typeKrav Maga Global StudentKrav Maga Global InstructorOther Krav Organisation StudentOther Krav Organisation InstructorOther Martial Arts InstructorNo Krav Maga ExperienceWhich organisation are you affiliated with?*Select your organisationKMG - Krav Maga GlobalOther - IKMFOther - KMIOther - N/AWhich school do you train with?*Select your schoolAspire Krav Maga (QLD)Dynamic Krav Maga (WA)Elevate Krav Maga (TAS)Hunter Valley Krav Maga (NSW)InDefence Personal Safety Specialists (QLD)Krav Maga Canberra (ACT)Krav Maga Collingwood (VIC)Krav Maga Darwin (NT)Krav Maga Darling Downs (QLD)Krav Maga Darwin (NT)Krav Maga Geelong (VIC)Krav Maga Hervey Bay (QLD)Krav Maga Illawarra (NSW)Krav Maga Melbourne (VIC)Krav Maga Newcastle (NSW)Krav Maga Northern Beaches (NSW)Krav Maga Perth (WA)Krav Maga Self Defence (NSW)Krav Maga Townsville (QLD)Pulse Krav Maga (QLD)Reality Self Defence and Conditioning (SA)Rise Up Krav Maga (NSW)SGS Krav Maga (NSW)Street Defensive Tactics (SA)Trinity Training (NSW)Urban Kombat (NSW)Valiant Krav Maga (QLD)Other; N/AIf you are unsure of your school name, please refer to your Instructor.Current Rank*Select your gradeUngradedPractitioner 1Practitioner 2Practitioner 3Practitioner 4Practitioner 5Graduate 1Graduate 2Graduate 3Graduate 4Graduate 5Expert 1Expert 2Expert 3Expert 4Expert 5Attendee Details: Informed ConsentBefore this event, it is important for us to understand whether there may be any factors that put you at a higher risk from exercise. Please call Sven Midri on +61 407 960 110 if you have any questions in relation to this form. Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke?*Please select an optionYesNoDo you ever experience unexplained pains in your chest at rest or during physical activity/exercise?*Please select an optionYesNoHave you ever been told you have had elevated blood pressure in the past?*Please select an optionYesNoDo you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?*Please select an optionYesNoHave you had an asthma attack requiring immediate medical attention at any time over the last 12 months?*Please select an optionYesNoIf you have diabetes (type I or type II) have you had trouble controlling your blood glucose in the last 3 months?*Please select an optionYesNoDo you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise?*Please select an optionYesNoDo you have any other medical condition(s) that may make it dangerous for you to participate in physical activity/exercise?*Please select an optionYesNoHave you experienced any traumatic or violent situations which may be triggered by self defence training?*Please select an optionYesNoPlease provide further details for any questions you answered "Yes" to aboveEmergency Contact Name* Emergency Contact Phone*Terms of Attendance* I agree to the terms of attendance.I have read and understood all of the information regarding the camp. I understand that the camp schedule is subject to change.Parent/Guardian Consent* I agree to the terms of attendance.I understand that the camp schedule is subject to change. I have read and understood the information regarding the camp and give my consent for my child above-mentioned, to attend. Attendee Details: Camp RequirementsT-Shirt Size*Select your shirt sizeXSSMLXL2XLAttendee Details: Camp Selection and PaymentSelect which camp you are registering for:* Melbourne: October 20th-22nd 2023 Hobart: November 10th-11th 2023 (Receive a KMG camp shirt if booked before 4th Nov 2023) Do you have any dietary requirements?Please select an optionYesNoPlease provide further details for any questions you answered "Yes" to aboveHiddenCoupon Total $ 0.00 Credit Card* DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Exp. Month010203040506070809101112 Exp. Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.