Karate for Life Membership 2020
Please only complete this form if you are a new or current member and you are registering for 2020. All returning students will need to complete this form. (see terms and conditions here https://www.karateforlife.net/terms-conditions )
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
Your answer
Email Address
Your answer
Postal Address *
Your answer
Mobile Phone Number *
Your answer
Emergency Contact Person Name & Phone *
Your answer
Membership Type *
Required
Classes Attending *
Required
Main Dojo Location *
Required
Payment Type *
Required
Terms and Conditions - available on our website Please read through our T&Cs before your tick. *
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This form was created inside of Karate For Life.