Stratford Karate Club Membership Form
Applicant information.
this section should be filled by/for the person who will be training with the club.
if you have any questions about this form please don't hesitate to contact us.
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First Name *
Last Name *
Gender *
Date Of Birth *
MM
/
DD
/
YYYY
Do You Suffer Any Medical Conditions? If So Please Provide Details.
Are You Currently Taking Any Medications? If So Please Provide Details.
Have You Ever Been Convicted Of A Criminal Offence?
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