Karate Enquiry Form
Sensei Elmarie van Zyl (Cell: 082 934 4670, Email:
Which dojo is in your area?
Bekker Karate Centre (Bekker Primary School, Magaliesburg, NW)
Germiston Karate Centre (26 Angus Str, Germiston South)
Helderfontein Karate Dojo (Reddam House School, Helderfontein, Midrand)
Kyalami Shotokan Karate (Equifox Park, 137 Crocus Road, Midrand)
Reddam House School, Waterfall (Midrand)
Samurai Karate Centre (46 Nicolas Smit Ave, Krugersdorp, 1739)
Your Name and Surname
Your Tel Nr
Name and Surname of person interested in doing karate
Age of person interested in doing karate
Has he/she done karate before?
If “Yes”, what was/is his/her belt level?
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