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Karate/Fitness Registration
Class begins on Wednesday, April 10 for 6 weeks from 6:30-7:30PM. Please arrive at 6:15pm on the first night to complete your registration and a Release of Liability form. Payment can be made online (see below) or on the first night of class. We look forward to seeing you there!
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Email
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Adult Last Name
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Adult First Name
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Address
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City
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State
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Zip
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Phone number
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Participant 1 Name
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Participant 1 Age
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Participant 2 Name
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Participant 2 Age
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Participant 3 Name
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Participant 3 Age
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Participant 4 Name
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Participant 4 Age
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Do any of the above participants have any disabilities, handicaps, hemophilia, heart condition, asthma, history of respiratory illness, or any other significant medical condition?
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No
If yes, please tell which participants and a brief description of the medical condition.
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$40 fee covers 1 person or the whole family!
You may pay online at
knoxvineyard.org
under the "give" tab (click Karate/Fitness in the drop down box) or you can pay by cash or check on the first night.
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