Fighting Griffin Family Karate
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Student Name (First & Last)
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Your answer
What is the date you plan to come to your first class? (check our schedule online for appropriate class)
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Program
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Little Griffin Karate (ages 4-6)
Youth Traditional Karate (ages 7-13)
Teen/Adult Traditional Karate (ages 13+)
Self Defense
2 week trial memberships begin on the first day the student attends class. Please confirm how the fee of $35 will be paid.
*
Cash at the dojo - please try to bring exact change (at first class)
Cheque at the dojo (first class): payable to Fighting Griffin Family Karate
E-transfer - to
OfficeNinja@guelphfamilykarate.com
Already paid by PayPal using the link on website
Credit Card or Visa Debt at the dojo (at first class).
Student Date of Birth
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Student Age
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Gender
Male
Female
Parent Name (First & Last) if applicable
Your answer
Email
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Your answer
Phone number
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Address
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Any medical conditions we should be aware of?
Your answer
How did you hear about us? Google search? sign? Facebook? Referral (who?)?
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I hereby consent to the application and its terms and conditions and in consideration of acceptance, I hereby agree to indemnify and save harmless Fighting Griffin Family Karate Martial Art Center and its officers, members and authorized guests from any and all liabilities of any kind whatsoever, of any nature, arising out of any form and connected with any kinds of claims or demands made on my behalf or the applicant.
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