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Karate Class Registration Form
Form for Karate Classes Registration
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* Indicates required question
Email
*
Your email
Participant Name
*
Your answer
Parent/Guardian name if Participant is a minor:
*
Your answer
Contact Phone Number:
*
Your answer
Please indicate any medical conditions:
*
Your answer
Existing Rank and Style (if any)
Your answer
Select Class
*
Choose
Ages 10+
Is the participant double vaccinated for COVID-19? This is a requirement for the 13+ category. Accommodations may be made for underage participants and families on request.
*
Yes
No
I have read with and agree with the Policies (provided on the website - see Policies) of the Victoria Jindokai Karate Club.
*
Form Submission
I agree and accept the policy provisions.
Required
A copy of your responses will be emailed to the address you provided.
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