Student Registration Form
Thank you for your interest in our youth karate classes! Please complete this short questionnaire to preregister your child for classes. You will need to complete one of these forms for each child you are registering.

Once you have completed your registration form, you will finalize your registration in person at the first day of class by signing a waiver and paying a $10 registration fee. All new students will also receive a free karate t-shirt with their completed registration! To see the start dates of our upcoming classes, please visit

Karate Class Location to Attend *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
Student's Age
Your answer
Name of Student's Current School (K-12)
Your answer
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