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Karate and Jiu Jitsu Registration
Please fill out this form in its entirety to register for karate , jiu-jitsu , or both.
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First and Last Name #1 *
Date of Birth #1 *
First and Last Name #2
Date of Birth #2
First and Last Name #3
Date of Birth #3
Parental Guardian First and Last Name - If student(s) are under 18.
Phone Number.  *
Email Address.  *
How did you hear about us? *
Which location will you be attending primarily? *
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