REGISTRATION FORM - Academy at Rising Sun - Martial Arts for All Abilities
This form is for new and returning students for either camp or karate programs.
Date *
MM
/
DD
/
YYYY
Choose Program *
Captionless Image
Required
*IF signing up for parent/child class, please register the parent and add child's info here:Name, Age, Is Child currently a martial arts student? Anything you would like us to know about your child.
Your answer
Are you...
New Students *
Student First Name *
Your answer
Student Last Name *
Your answer
Age *
Your answer
Current Grade in School if applicable
Your answer
Name of School or Employer
Your answer
Street Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Does this student have any disabilities, special needs or considerations either diagnosed or undiagnosed. *
Your answer
PLEASE GO TO OUR PAYPAL ACCOUNT at WWW.KARATERISINGSUN.COM TO PAY YOUR REGISTRATION AND/OR TUITION PAYMENT. Classes begin Week of September 5th! CONGRATULATIONS YOU ARE REGISTERED!!~
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms