Maine Traditional Karate: Registration
Student Full Name *
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Student Birth Date *
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Student Class Group *
Select the best class group based on age
Email Address *
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Phone Number *
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Mailing Address
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Sign Up For Location *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Medical Conditions
If there are any medical conditions that may impact your ability to participate in a physically active impact sport, please note them here
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Additional Comments/Information
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Register additional students? *
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